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ap,e: 2 of 2 02/9/2015 13:45 PM T0:7925257885� FROM: Kate nnderson <br />E N92S299151G _ - — --- ----- ---- ---- <br />ELECTRiCAL PERMIT APPLICAT�ON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT. WA 98201 <br />, 425-257-8870 - FAX425-257-8857—�w�nv.everettwa.org <br />sio3 s. a�h n�o ;n. E�„«,� wn 4azos <br />PROJECT ADDRESS <br />Owner <br />luyce Morgan <br />Tenaril <br />Me�iAdaress <br />5103 5. 41h Avc IA <br />h5eil Addicss <br />Amprd Elrcuic Y. �.�r.rhanical LLC PO 6ox 86D <br />Electrical Comraclor 1.'0 �. ndmess <br />�MPEDEM907D4 <br />Slate License Number (requved) <br />S�ngln F:imdy Residencc <br />Proposed Use o( Bwlding <br />Square Foolage (II residenhal new consiruclion, iemodel or addi�ion) <br />Number ot devices pt lov+ voltage) <br />:idd M�o ciicuns for fwnacc <br />Descnphon o( Work lo Be Donr. <br />Gry <br />Cvcrcll <br />QN <br />Evcrntt <br />Ctty <br />StalciZiV <br />1VA 98.Oti <br />S�ete2ip <br />w�ni�ezo6 <br />State/Zip <br />Pnonc <br />425.353�3532 <br />Phone <br />a25�se3�eaia <br />vnone <br />=048712 <br />Gdy ol Evere�i �usiness Lwerse Numver (required) <br />530P.00 <br />Contract Pr;ce ol Work <br />Andrew SUpechld25�252�3714 lampedemi+�UmaiLcem <br />Contacl PersonlContact Number/Email <br />F[[ �y� -1 <br />CITY GP [VERETT LOCAL SAL[S TAX CODE IS 3105 (� Ow <br />�J <br />I hevr�by ce�tAy lhaf I hare irid and examinedlhrs applrcafion and know (he same fo be Lue and <br />cnnec( �fl proc�sions ollaws and ordmances govermnp fhis fype ol work �vill be completed — � <br />whether specdicJ hercrn or nof. The gronUng o/a permd does no! presume to gn•e authonty !o P�RD11T# <br />y�+olate ar cancel !he provisions of any other sla(e or local law reeulalrng consl�ud�on or fhe �� JO �. ' 0��� <br />perlorrnance o! consf�uchon. That 1 am authonzed by fhe o�vner cl fhis propeAy to periorm Ihe <br />work lor nhich appOcafion is made and 1 comply wdh the Sfafe Conlrac7ors Law 78.27 RCW and <br />2.96 200 IVAC <br />�nlv Cl �.:.e+.,n <br />i.� cr..,non-Y.:ou <br />t-73�2015 <br />PH <br />