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� � <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVER[TT, W� 98?_01 <br />425-257-8810 - FAX 425-257-8857 — ww�v.everettwe.org <br />!v -i7-�y <br />C—��1������ <br />2109 Virginia Ave <br />PROJECT ADDRESS <br />Tl�omas Casey <br />O�vner <br />Owner <br />Tenant <br />� Electric bVest, Inc <br />Electrical Contractor <br />2109 Virginia Ave <br />tda�l Adtlress <br />ELECTWI030J1 <br />Sta�e L�cense Number (reqwred) <br />Sir�gle �amily Res <br />Propased Usc of Budding <br />I�Aail AdOre55 <br />817 N 6th St <br />tdail Nddress <br />F.ve; �tt <br />__. ` `Y <br />CAy <br />MI Verno� <br />Cily <br />Square Footage (11 residenhal new construction, remodel or adddion) <br />Number of devices Qf low voltage) <br />Description ol Work l0 8e Done� 2�0/i Pa�e� Upgf�d� <br />CITY OF EVERETT LOCA� SALES TAX CODE IS 3105 <br />V'!A/98201 <br />SIaIC/Lp <br />Slale2P <br />WA/98273 <br />Slate2ip <br />36Q �70-9376 <br />Phone <br />Phone <br />360 419-9378 <br />Phone <br />034889 <br />Crty ot Everell Business License Number (required) <br />Conlract Pnce of Work <br />Bruno Padilla /360 70B•3227ibruno@eleclricwest com <br />Contact PersoNContact Numt�criEmail <br />I he�eby certdy fhaf 1 have read and exarnined fhis applicafion and know Ihe same fo be frue and <br />conecl �If prov�sons u/laws and o�duiances yoverning this type ol �vork H�:4 be coniplefed <br />whelher speaGed herein a� nof. The y�anfuiy o! a permrt does nof presume �� give autho��fv fa <br />violate or c�ncel lhe provisions o! any other stale or focal law regula(ing caisfrucfion or flie <br />perlormance o/ canstruction. That 1 am author¢ed by the mvner of fhis property to perlorm tl,c� <br />work lor �vhich applicafion is made and I r,o ty with (he Sfate Confracfors Law 18.27 RCW and <br />296200_W C. � <br />, �e�� I o �� J'� <br />s�g�,wre o,�c <br />R[v�cEO O0.Jfd:i�ia <br />PEE <br />/��C� <br />PERMIT# <br />E141�-f1� <br />