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09/_9/2010 WED Ia�55 PAx 4758:OJ6B7 Greenwood Heating G A/C <br />ELECTRICAL PERMIT APPLICi�TION <br />CITY OF EVERETT PERMIT SERVICES <br />3?.00 CEDAR STP.EET, EVERETT, WA 99201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.ory <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ZWOR IQ'��� :� SE EV�C�i <br />PRWEC7 AUDRE3S <br />Owner <br />� <br />Mnil Addroes <br />lAail AAA�ess <br />fity <br />mooxioox <br />y.�t`-/O <br />�_ /o/O -00� <br />4?.5• 33�1. <br />St:NMZ�p Phone <br />'c;rCl+ __W�4r2¢�N29�iy. <br />cny S�ale/7.io rnono <br />F�s �Eu Wish Eledric. 6?f� 5 st-acu Sf- Se4N� __ u�+9�_13u .'Mbzp�3 <br />Fleclncal Contraclor 61a11 AUdrea, City SWIe?.�p Phone <br />��Y_��2.��r' NM _ <br />Slale L�cxnse Nurnbnr <br />��Iex reaidcnfio.l <br />Pio o,ed Use o� Ilwlding <br />O <br />�� — <br />Gunlract Price of Wo�M <br />�i k�c Ncdn�t- <br />Contacl Person (Plan Revlewl <br />Uesr.npUun ul WoiF la Bo Dono: �n��t � Q,YyV7_ '���� ��� �h �� G.�_ <br />1� <br />�r�+u��- ?�Q_�rnF-ui cu�k--�rr W��_h un�- � � - -- <br />NOTF: WIRWG IN NON-DWEU_INGS IS REOUIRED TO F[E /�� � <br />BG IN RACCWAYS, MC OR AC CAOLC. <br />CITY OF EVERETT LOCAL SALES TAX COOE 19 3105 <br />1 hereby cmLly Ihaf I havn rend ond exnrnlned th/s epplice(ion nnd know the same fo bo frue end <br />rnrrecf All pmcrsions ol laws ond rnAinBnces govemmr� (his fy pp o/ woik will bB !rompfeferA <br />whnfher spori6ed homm or not. 7 he granfing ol e perm�t duss not msume fo give authodty to <br />violafe or concM fhp frovisions ol nny nflwi SfatO oi bcol lew mpuP(iny consfrucfinn or O�o <br />peAorm�ncN ul rnrrsburhon. Thaf 1 arn xulhonzeAby fhe n:vner o/fhrs propeKy t0 pedoml (he <br />wo�k /cr wh�ch apphrahon •s madn , nd I rnmpl)� wid� Iho S(n(o Confrec(ors Law ffl ,^7 RCW nnd <br />;g6.: UU N'�1C. <br />! / <br />_C'��/ <br />���r c <br />