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Aug 23 13 10:10a Cole Eleclric LLC <br />360�668-0608 P � <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320a CEDAR STREET. EVERETT, WA 98201 <br />425-257-8810 - FAX 47_5-257-8857 — www.everetlwa.org <br />16 W�.fnvi' Si <br />PROJECTADDR£SS <br />Owner <br />Tenant <br />Mail AOdie55 <br />Mail Address <br />g.-ab-i3 <br />� wj3o�-o06 <br />C@Y SlatolZip <br />Ciy Stace2ip <br />pnone <br />Phone <br />�ofc E�cG�r'1c LLL Pp �on �Z70� �t•�•�-�o�t W% �i�G2ti 3%0 6o8'OboR <br />ElectncalContrador ful.islAcMress Gty StateZp Phone <br />C o�GGL��`1 I P S <br />Slate Licensr. Number <br />Pmpased Use ot Building <br />Square Footage (If residential new conslnidion, remodol ar addition) <br />Number o1 devices (If low voltage) <br />� lSov <br />Contract Pnce of Work <br />Contacl Person (Plan Review) <br />DescriplianofWorkloBeDone: T i�'�ec"F W �'�5 � C:o.1n�C'�%��-e> �+'�' PN.�C.� u�� <br />G�� �icv � s r�Ps �- rcp� �� 4� �cc�ys��y <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 pemby ce�Gfy thaf 1 bave read and examined U�is enplicaGon ond know thc aama (o bo Wo and <br />correct. Nl provisions ollaws and ordinances gove� ning tM1is typc of wnrlr m116e complotod <br />w�eU�e� speci�eJ herein or not. The granting oI o permit does nof presumo fo givo authonry to <br />vio7afo orconrn!lhr+pro�isions o/ any oH�erst8�e orlocal law m9ulafin� cons�nrc!iun or11�e <br />pedormance olconsbucGon. That 1 am authonzed by lhe owneroif7us propc�ty to peRotm [he <br />wodr for which appllcaBon is made and I cvmp/y wifh �he Stafe Conlradors Lew f0.27 RC W ond <br />296.200 WAC.. <br />� <br />� C� C^ � `v%z�/ !3 <br />FEE <br />��-od J <br />PERMiT� <br />E t� I 3� S-- lh� (o <br />