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�a/16/2�15 15:24 2532802156 GARNER ELECTRIC PAGE �2/0n <br />EL�tCTEtICAL PERiVIIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDFlR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 —www.everet�wa.arg <br />I I �a� 19�` >r �r_ <br />PROJECT ADDRESS <br />Tcnant <br />P.1a;ll�9dre�; <br />1lai� Hd�re%s <br />a,y <br />Clty <br />y�l�-�� <br />�= /S� 4 �/`°-� <br />$'atelZ�p <br />5WIe�ZIp <br />—��- ���� <br />Phone <br />Phore <br />��1;-e�;�« ti�w 22�%S }^-� Rve � Ker� 1 q �18D?,aZ 253-�;1-(abS/ <br />eIeCCIC31 CCnU2ctor l/dl ACOre;s Cly Stale2ip ?'��n� <br />('—t �1-!Z E ' 1�1 �L�4 I�B <br />Sta!e License Numbcr (rcqulrntl) <br />?roposed Use of Bul!tling <br />SGuare Footage (If resld2nbal new con,Vuc:ion, rP�nodel or addition) <br />�cmhVr of devices (I� low vdiage) <br />Descnption o! Worrt ro Be Dor.e: <br />CIT'f OF [VERETT LOCAI SA�[5 TAX CODE IS 3105 <br />0`�2�09 <br />Ci of Ewrett �us�ness Llcen:e Numb,r (requ�rodj <br />�` / � <br />Cen:ract Prco o'�Vork <br />� I en�-e�t� o�-�,�3_ <br />Gontact PereerlContact;lcmhedEme�i <br />1 hereby certily Uiat 1 have mad wid oxam/ned Ihis applicafion and Icnow fhe samo to bo true and <br />corrocl All provlSlOns cl/a�vs �nd OrdinBncos ,qoveminq this typo ol wod< <:ill 6e ccmplelBd <br />whoNer spocified hornin or ncL Tho granlinp of a p?nnit dces not presume te aive aufhorify fo <br />violate or cBncM the p�Ov�Sions o/ Bny ofh�r sfafc orlocal fnn requlatin,q censWct;on crfhe <br />porformanco of tonstruc/ion. That I am eufhonzed Ay the ov�n=� ol this property to perfurm (he <br />v;od� for v.�hlch applica6on is mad? and I r,omply w,iLh the Stat� Confrar.fors Law 18.27 ftCV✓and <br />296.200 bVAC. <br />F'Ev�JEO cam:lo�a <br />FEE <br />� �o,� <br />PERNIIT?t <br />E I�O�� ID� <br />