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flug 19 2015 10: 1�flM West Seattle Furnace 206 935-0735 p• 5 <br /> ELE�TRICAL PERMIT APPLJCATION <br /> �ITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE7T, WA 9820'I <br /> 425-257-8810 - FAX 425-25�-8857-www.evereltwa.org � �s <br /> �v ,-f30 <br /> �� �,{., � Sa� <br /> � 0�-1_�. :�"" �� �E <br /> PROJECT ADORESS <br /> _�< <1�t�rel IMa� ha�— �-�- �a5 . aqo. 1�64s <br /> O.vnBf Meil Ftldress Cily Sbtc/Z�� Phonc <br /> Tanan� MailAddress Cily Stato2lp Phonc <br /> gsL � Lka.-,�, nq y � ol s I��J-�'� ►�L d�l-� �.�o. q '81 �8 aoe a�l 6 �1 v <br /> EICCIric�IConlraqor MailAdd�ess City StatrlLip Phone <br /> �.c w.�,-� q �a v.� � 82 3 0 ; <br /> Stato Liccnse Number (roquiretl) City o/Everelt �uslnuss License NumEer(re�uired) ' <br /> 5� � �300 <br /> Proposed Use of Builtling CoMract pnco ol Wovlc <br /> ,�a.� �-�. d-�� �a�.�a g. �� <br /> Squara FootBge (I(res�dontial new consl•uction, remodel or addi[ion) Conl.ct Person/Contnct NumbedEmail <br /> Numbcr ol dr,vices(If low voltaye) <br /> Doccnplion o Work ro 6e Dono: ���� \ �� (� C V �1� �'pl� � L��q S <br /> ♦ <br /> '�7�) 1M_ <br /> FEE <br /> CITY OF FVERETT LOCAL SALES TAX CODE IS 3705 �r� u DD <br /> "J -� <br /> f horeby corfily lhnf/huvu road nnd oxaminnd fAis applicnfion nnd know(ho Some fo be fiuv ond <br /> correct. NI prt�visions u//aws nnd ordinnncos govoming uns typo ol work wi/l Go complofotl <br /> whefhor spocilied harern nr no(. Tho gran!!ng o/a parmif doos nof prosumo(o give airthon (o <br /> violofe o�cancof ihr�pmvisions o!any Othorsl�fd or Inro!lew iogulofrng construction or fhe �RMITtJ <br /> peAvimaneo o/r.nnstiucUon. The(l om aulhnn��d Ay fho nwnorol fhis proporfy fo peAorm!hn E`�-.�e,{/�� 1� <br /> work(o�which oppliColion�s mede and I compty wiih tho Slala ConVactors La�.v iB.27 RCW ond ° '�� � r.'�� 1 ✓ <br /> 200 WAC. <br /> � �_ � I Q � <br /> �9naluro Daln �--- <br /> LRcvr5FyL80c2oH — " '— <br />