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02/29i2013 14:22 <br />�Lb � 3 �12 <br />25347586B6 <br />IDEAL SERVICES INC <br />FAGE 02/05 <br />ELIECTRICAL PERMIT APPLICATION <br />CITY �OF EVERETT PERMIT S�RViCES <br />3200 CEDAR STREET, EVERETT, WA 98201 �_ ��� •3 <br />A25-257-8810 - FAX 425257-8857 – µn'+v+.everettwa.org 5 <br />APPLIGATIONS ARE AGGEP7[D FROM S AM TO 4 PM <br />I 31 I ��t�'Cli'ell ��2✓'e 1J� <br />PROJECT ADJR[SS <br />Owner <br />Tenant <br />Elect�ical Conttactor <br />Mail Address <br />Msil Addres5 <br />Moil nddress <br />Sde�c-5..� m ( t J� <br />g(ate Llcense Number <br />�l <br />Proposed Uso of Bcildmg <br />City <br />C�ry <br />. <br />�130� �� q <br />Stete2ip <br />Phone <br />Phcnc <br />Phone <br />�Z� _ <br />Contrad Frice of Work <br />`f�1'1 DuNc�l <br />Contact Person (Plan Raview) <br />Square Footage Qt residential new consUuction, remodel or addition) <br />Description of Wotk to Qe �one: Cl��er �/ODa– L E+1 ��Q��� r�`�- =`--r"'— <br />I �a��'c�rf- — <br />NOTE: �� �N �C WAYS MC OR AC CAB EUIRED TO <br />CITY OF EVERETT LOCAL SAL[S TAX CODE IS ]105 <br />read <br />or <br />is madc and <br />yove/npn�y ff s type of i�ork�wil! becom�f oted and <br />�r a pomut doss not resume ro 9Ne au!honry to <br />3te cr rocal lan� �egu�Lng conshudion or tne <br />ized by the oivnero/this proporfy tu pertom� fhe <br />Iv with ihe Stato Gontraclo�s Lsw 98.27 RCW and <br />Z/�/f3 <br />FEE � � <br />50 <br />�13�� - � � 5 <br />