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T.. L' �'aVe.lof!� 2p1n.V4.(UD.I�.Ii(��IIC�I�nT) �UUU.�v�U:Ju'J r..ai.�• ye�,a.�nr��r�.e����� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — wvew.evereilwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM 70 4 PM �`�� _�(' <br />� 1 yo5�l� q <br />2121 VIRGINIA AVE <br />PROJECT ADDRESS <br />LYNN BOZE <br />Owner <br />Tenant <br />WESCO <br />Electr�cal Contraclor <br />2121 VIRGINIA AVE <br />�dail PAEress <br />M17�il AtlErC55 <br />Everett <br />C�ty <br />Ciiy <br />3909 196th St SW Lynnwood <br />ldad hddres. Gty <br />WASHIES9710D ex 09/02/15 <br />State License Number <br />SFR <br />Pmposed Use of (3widmq <br />Descrq�Uon of Work to Be Done- _ <br />ELEC FOR FURNACE REPL�CEMENT <br />NOT[: WIRING IN NON-DWEl1.INGS IS RE-�UIRED TO <br />B[ IN RAC[WAYS, MC OR AC CAOLE <br />WA 98201 <br />statNLp <br />Slale2�p <br />WA 98036 <br />Slatc2ip <br />$400 <br />Contran Pnce ol Work <br />425-314-7570 <br />Phone <br />Phone <br />800-398-4663 <br />Pnonc <br />Contact Person (Plan Review) <br />CITY OF EVERETT LOCAL SA�ES TAX CODE IS 3105 <br />I heicGy ce�hty that I have read and eXamined t7us application and kno�v rhe same !o be frue and <br />conecf. All prav�srons of laws and ortlinancos govemrng Ihrs rype o! n�o/k wtll be corrpleled <br />�hethe� specibed herem or not 7he yrantmg o/a pamv! does r,o1 rasurne to grve �ufhonfy lo <br />violate or cancel fhe prows�ons oI any o7hnrstafe or!ocallaw reguPhng construchon or fhe <br />peifonnance ol consfn�cLon The71 am aulhonzod Ay (he otvrer o/this pruperty to DeAorm fhe <br />�.ork tor wh�ch apphca�on �s made and I cemply with fhe State Confractors Law 18.27 RCW and <br />296 200 �M1�A C. <br />D�gilxlly v9^rd by lennAn Cocello <br />Jennifer Covello oN��-,z��,,e��o���oo-��,,,hwe„����,���.o�. <br />� ar.ui6.,enu� Nf nwp!imit mm, c-JS <br />Date ]UI n VS 14 3Le69.: OPM. <br />SignoWre Dale <br />fEL � <br />� <br />��`�"°S �� � �i <br />