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06/12/2014 03.36 <br />naosc P oot/ooi <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMlT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425 257-8857 — w�wi.everettwa.org (� _13 —1 L/ <br />� �u�6-�3 <br />� ��3 � 1�i2���.��� ,�-V�✓ <br />PROJECT ADDRESS <br />��� <br />7enant <br />[lactrical CoMracirn <br />s�.�4--. <br />Mail MAtc�as <br />MaillufCreas <br />� <br />Mail Mdmsc <br />����� �v.ss i � z�P <br />State License Numbnr <br />�Fh- <br />Propos�a Use ot Builtlinp <br />Squaro Foolage (II �esidential ne++consiruction, remodel or addNon) <br />Number ot deviu.:. (It low voltage) <br />Gry <br />GA' <br />ay <br />yzs <br />3�y <br />P�ZpI o /� <br />SL�hJZiP PMne <br />SWIclZip <br />SlatdZip <br />Conbad Price O( Work <br />Y�' ��,� <br />—L "�`[-L <br />rr,onc <br />ContaG I'�Kson (Flan Revicw) <br />Dc:scnption o} Work ta �c Done� /� /�� L/ �( l✓ /-� I I �-j �// [�/L! /--/� �•� rc� � �-�-_i �v ii ��r _- -- <br />� l�or cti��t c in r�� � �. �4 ���� � i� --- <br />CIiY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />1 hr.m.by ccRdy thaf 1 he�e �ead end examinod this upplicnhcvi ond know fho samo fu oo truo and <br />corcf All proviticuis ollaws end ordinances qovomirtp Mis Nlui ol work N611 be complofod <br />wlwthor sPo�hnd Aoroin ornot Tho pronting of n pnrmd does no� prosumo fo �rvo �uthonry fo <br />vinlnto or cuncel the prov�srons ol any UUror stafo orlocal law rogulOfinp cAnshuction or tMi <br />poAormanco ol co shuclion. Thnf 1 qm authorizvd Gy Ure awnarol Uus propnrty fo podorm U�e <br />work lor which n icnGon is made and I comply wifh fho Sfato Conbactore Lnw 18.2� HCW arrd <br />J96.200 WAG ' <br />�n / U �� �7 <br />�� �� � a <br />S� <br />�RMrrr <br />E I�-�O�-Uqj <br />