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To Page 2 of 2 2014-08•04 22.55 2J (GMT) 1P889574156 From Davia W�ori <br /> ELECTRICAL PERMIT' APP:�ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-d857—www.everetiwa.org <br /> �` S'�y <br /> - C�t,o�oa3 <br /> �'Z.C�-4- Se�L�.., 7a /�Vf: - �v��rela , e_��t. 9$2o3 � <br /> PROJECT ADDRE55 I <br /> l-� t' le.� '��}�o� 52.0=� S���I,...�s� ,4vE E�Prr� WA . 9�is2n3 <br /> O.vner IAarl H70m5s C�ry SiatrJZiv Pnon� <br /> I <br /> Tenant h1aA Aapross City SL�te2p Pho�x �� <br /> (�Jv�•�-�- EI��{,-r �_ Po. i3�� �1-# C, m.,,1� �.11s ����- ('�l�c.145-�-nF� � 'ii <br /> EleCriral Contractor h1nA Aa[ress Ciry Slote!'up Pnorro , <br /> vT� <br /> WV��T7E�945P1� � 7iGl� � <br /> State Lim,nse NumCer Contract Pnce of WoAc � <br /> Preposea Use of Bwla�ng Comaa Person (Pian Review) <br /> I <br /> Squaro Footage(II resinentiat new conslruCion, rnmodel or addtlioN <br /> Number of aevices(II low voltage) <br /> � .,,� �1C����, �" � �. IM U -��� :. � 1-, <br /> Doscnpaon of Work to Be Done � �i � �L_ I <br /> �1��:�� ��„e . � , ti��l\ v��., ���.��(, . <br /> FEE !� I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � <br /> I heroDy ce?rty fhat I h�ve read antl examined th(s app6cctlon and hno��(he seme fo Do tnio antl <br /> connr.l. All piuvisons u/Inws xnd ord�noncos qovomirrg this type o/work will be comploteA <br /> whothor specihod homin or noL Tho pranGng o/n pomrd doos no!presumo fo giva aufhonty fo pEHMIT# <br /> vlolate or cancol Me provlslons cl any er stalo or local law regu/nGng consfrociMn nr fho <br /> M�formanr.o ol nstn�cfion TTAI I A�) uthonzcAby fhe ownnro!th�s pmporfy f.>pedoim Iho E I. �{o�-�oz3 <br /> worA!or whic e plrcntian rs medu n i ompty vntb fhe SYnio Contmctors Lew 7827 FCW antl <br /> 296.2001h� . <br /> . <br /> �fi'�,�., `�` <br /> Sgn 1 � D04f <br /> N£la¢O N6�J <br />