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02/17/2014 21 � 00 p4142 P. 007/001 <br /> ELECTRIC�►L PERMIT APPLIC�►TIO�+I <br /> CITY OF IEVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 a �� �7_)1.� <br /> 425-257-8810 - FAX 425-257•8857-wuvw.everettwa.org C ,yD a -��� <br /> � 1�2 �3 s''i" 3�3 <br /> PROJECT ADDRESS <br /> L► �1 U�SA1 �f M R 12�Uc��____ ��o '� �`" ��''1 � . Ph — <br /> ON71Ef�— Mali Addresu � CM SW19(Lp <br /> Tenant Maii Address Gty S�ate2ip Phone <br /> ���.�.�---�6 ae l �� �� �°� �'"���0� <br /> Elenrical Conrcaaor Meil Mdress ���Y S�a�P P��e <br /> � l�l�'l� ��'oU�vb N�_ <br /> State License NumGer Contraa Pnce of Work <br /> Proposed U�Buittling Contact Person (Plan F'eview) <br /> Square Fnotage(If residential new construuion, remodel or addNon) <br /> Number of qevices(If low voltsge) <br /> Oesaiptlon of Work to Be Done: � � �TVirr��w + � ��R'��I��v vv�l.lu-.�--- <br /> - / <br /> G lIZ C� T�'� /!1 A�� /1t9�G <br /> FEE �� Q � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � <br /> I hweby certily Ihat 1 have read and axamined lhls application and know ilra semo to Ge hue and <br /> cortec: AH provisions c/laws and ordinanws goveming Nis type ol walir will Do completad <br /> whe(her spec�ed nerein or no1. 7ho granfing of a permR does nof prosume to grva aufhonry to PERMITt� <br /> No�atc or c2ncel lhe provisions o/any othar sfafo or local law rogulating tonstrticfia+or tha � ( <br /> performanco o/ struction. 7h6t!am authorized by the owner o/this proporty to peAortn tho E , Ll�2 _J q� <br /> work loi which fication is modo antl 1 comply wifh the Sfefe Confrdctors law 1827 RCW and � <br /> 296.?.00 WA(' <br /> � � <br /> i n re �e <br /> �sto.nan� <br />