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02/18r}2015 11: 00 2532882156 GARNER ELECTRIC PAGE 01I01 <br /> ELEC"�RICAL ��RM�T ,A,PPL,�C,�1,TMQN <br /> C�TY OF EV�RETT ��17M1T SEI?�/�C�S <br /> 3200 C�DAR STREET, EV�I��-f"T, WA 98201 <br /> 425-257-8810 - FAX 425�257-8857--www.everet�twa.org <br /> ��, 14�r,���oc �o� �F�IryI a� 1121q l�`'` +Av�e. S� <br /> _�all� ll��� �� , �. <br /> PROJECT ADDR�SS <br /> � - � - til s Zs 5���^�� <br /> Ownor Mail Address Gity 5tate2lp Phone <br /> Tenant Mall Address City Statelzip phone <br /> C�-r�►' �s�PS'��tC�.�r�o ,� '����.���ve� ��.vr�- �`�4�1���—,��.����Z--�v�� <br /> Elec#rical ContracCor Mall Address City 5tate/Zip I'hone <br /> �.1 K�-1�V � �-�,V��n'-i' �� ��J�-"I�-"I <br /> State Llcense Number(required) Ci#y of�vorott Business LicensE Number(required) <br /> St' I��v�O I'V��►1� �%�i'� <br /> Proposed Use oP gJilding ContracR Price of Work <br /> Ui 1��'�i.�lc �(�- 1`�s�` 2.��3 <br /> Square Footage(If residentlal new construction, ramodel or addltion) Contact person/Contact Number/Email <br /> Number of devices (Ii low voltage) <br /> D�scription of Work to Be Done; C�� ��(� A•!'Yl P �rp�� �Cl� ��1� �'� , 1�1�( �P i� <br /> r � <br /> --- C Ll ,�� rnL�r�,A�-�- - 2s��g�2,^�051 <br /> F�E <br /> CITY OF ENERETT LOCAL SALES TAX COp�IS 3105 �D�Q� <br /> l horeby certlfy that/have read and examined tJ�is appllcatron and knvw rhe same ho be true and J <br /> correcf. �lll provisions of/aws and orrllnances governrng this type of work wr'll�ie completed <br /> whothor specified hereln or not The granting of a permlt doos not presume to glve authorify to PERMIT# <br /> vlolate or eancel the provisions of�ny ofher state or local law reguleting construcfion or the <br /> performance of consPruct�lon, That I am authorized by fhe ownor of tl�is properfy(e perform the � -� (� J'� <br /> work fer which appf;caffon is mad�and l comply wlth tl��State Confractors Law 98,27 RCW and I �� � � `-' `" � <br /> 296,200 WAC. <br /> Signaiure a�o <br /> REVlSED 08Po�Yp14 <br />