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� -------, <br /> - ------- _-- -- <br /> - ------- <br /> _-- <br /> � <br /> ICAL PERMIT APPLICATION i <br /> �� ELECTR i <br /> CITY OF EVERETT PERMIT SERVICES ; <br /> �i 3200 CEDAR STREET, EVERETT, WA 98201 -a_'� 'I <br /> i 425-7_57-8810 - FAX 425-257-8857 —www.everettwa.org j� " �� <br /> L� � � �I <br /> li APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM —��ZIO `�O <br /> � I <br /> � i <br /> 11812 2.5th Ave SE, Everett 98208 �i <br /> I PROJECT ADDRESS <br /> � <br /> ' Carleen Naito 11812 25th Ave SE Everelt WA 98208 425-379-7104 ', <br /> I� � Mail Addmss Ciry Statc2ip Phono <br /> � Owner I <br /> ' Mail Address City SWIeIZip Phone � <br /> Tenanl <br /> '! Bobs Heatin and A/C 13633 NE 126th PI #350 Kirkland WA 98034 800-840-3346 <br /> �, Elcctrical Contrector <br /> Mail Address Ci;y State/Zip Phone , <br /> BOBSHHA9700J 100.00 <br /> � State License Number <br /> Conlracc Price of Work <br /> �, Proposed Use of Building Contact Person (Plan Review) ' <br /> I <br /> '� Square Footage(If residr.ntial new consiruclion, remodel or addition) <br /> � Description of VJurk to Be Done: �OW VO�t2Q8 tS�2t NIfO Wlth fUfIl8C0 fen�8C2ment — . <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIR[D TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �j,� <br /> U <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � <br /> !hercby c^rti/y thaf f have�ead and examined this applicution and know the sarne to be Vue and � ���O , �1� <br /> r.orrcct. All provisions ollav.�s and ordinances govmnrng fhis t��pe ol vio�k will be complefed <br /> vhefher speciGed hr.�ein or noL The g�anbng ol a pennd does nof resume to give aufhority fo <br /> violafe or cancel fhe provisiuns a/any ofher sfate orlor.al law reguPting consVucfion or fhe <br /> pedormance ol construction. That I am authorized by the ovmer o/tlns property fa pedonn the 'I <br /> viork Ior v�hich application is made and I compty viith fhe Sfate Contractors Law 18.27 RCW and <br /> 296.200 WAG. <br /> � -J <br /> 10l2/12 <br /> — iy i �urc Dalc <br />