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04I0�/261� 11: 43 2532222156 GARNER ELECTRIC PAGE 01/01 <br /> ���c�-�i��� ���n��T ��pr��c��r�on� <br /> C�T'lf� OF �VE�ETT �'E�MIT SERV�CES <br /> �200 C�DAf� S7'R�FT, �V�R�TT, Wn 98201 <br /> �25-257-8810 � �AX 4�25-257�8857—www.ev�rettwa.org <br /> C ��� <br /> , .� , <br /> PROJECT Ab�RES5 <br /> I�� �� "� � � ' D '� � b� S � �� -�� <br /> OWf1e Mall Addreeg City Stale/Zip Phbne <br /> Ten2nt Mail Addresg Gify State/7_ip Phone <br /> � ' n�. yL 9 .� � '�'.����� <br /> Clectrical ContYactor Mail G�ddross City Stato/zIp Phone <br /> State Lfcense Numbar(requlred) �� • <br /> Ci#y oP Everett C�uslness License Number(requirod) <br /> Proposer� Use of I3uffding Cantract I'rice of Work <br /> Squar� Fc�otage(If residenUal new construction, remodel or additior�) �act f�erson/Co}acl�'S��"��� <br /> t Number/Emaif <br /> Numbor of devices(If low voP[age) <br /> Description of Work to C3a f�one: ����yy�� � ����„� ���/ . <br /> '�-�-� � �..� � '1 I� � �`Ot/l <br /> � <br /> ��� <br /> CITY OF �V�RETT[�OCA�SA��S TAX COD�IS 3105 � ��,� <br /> I herovy certify that I have read and e�amir,ed this app�rcatlon and know th�same to be true and <br /> co�-r-ect, All provisir�ns of laws and ordi��ances govcrnrng tl7is lyps of worl<w/iI he cornpletnd <br /> wherh�r specifiod heroin or noi: 1"ly�qranfing of a permlt does not presume(o g/ve eutha7ty to p�RMIT�F� <br /> vlolate or cancel tho provlsions of�ny othcrstate or local law regulating consfruction or fl7c <br /> performance of consPrlict,ion. That!r�rn au(horizod by th�ownor of thrs proporty ro perform fhe � �5'D��bl� <br /> warlc for which applir,atlon is made and!comp/y w�lth the Sfate Contracfors!_aw 9a.27 RCW�nd <br /> 29G.200 WAC. <br /> - , � � �� <br /> S�9nature Dat <br /> RFvlseo oerocs�oyc <br /> -�-�,,, <br />