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age; 2 ot 2 10/15/2019 OF3:02 PM T0:1925257[3f357 FROM: Uonna Oarncr <br />[ t120fi9'31550Ei • <br />�- ---- --____- - — - <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 – wwev.everettwa.org <br />l D --1� -1 S� <br />C r4io-�3 <br />1471 1?Jnci Strrnt SF <br />PROJECT ADORE55 <br />Aclli�lsf•_iri,k� _ _ -_14?.1_127.nc1_SI_SF <br />Owner Mx�i n�miess <br />Trnent <br />Med Pddre55 <br />�MPLD Llecinc & Mecharncal P O E�ox BGB <br />I-Iectncal Contiaclor 1,1a�� Aedress <br />�Mf'EDCM901D4 <br />Sla�r. L�cense Numbe� �reqwreA) <br />Sirn�lo Famtly Residcncc <br />Proposed Usc ol �wlding <br />--Fvcrett-------- ---WAl4]A7.(lf�-42i•25a-L,31n <br />Cily Slaic2p Vnone <br />Gty <br />��� «�� <br />City <br />$IOIC�LO <br />wni�ozo� <br />Slatc2ip <br />PhOiu <br />A25 583 6414 <br />rnoi�c <br />048712 <br />Cdy ol [verMl �usmess Lir.ense Number (rcywred) <br />Conhaci Fh�cc ul Woik <br />flclJua Ntiriruti;� / A'r!i ]5t1�631A <br />Squ:.ve footage (II residenlial new wn>Iruciwn, remodel or adddiun) Conlact Person�Conla�l Numbenf'.n•an <br />Ntenbcr ol Araiu�s 1111ovi vollage) <br />[�P•,cr�puon ol Work to Be Donc In�,lnll curuiL� for ducllr_�� hcai pump•, .- ._-_----,— ---- <br />F[L <br />CITY OF f VERFTT LOCAL SAlES TAX CODE IS J105 ✓� r��l( w, <br />�l v <br />I hrreby uvbly lhal I hnve m:�d end erarninrd fhrs npp6cafitrn ,�rnd Fnow the sarne ;o bc Uur �nd _ <br />cormd All piovisron; ol law5 anJ o�d�ndnres yuvern�nq lhi5 type of ���0�6 Wdl be c nrnplefeJ r-- -- -- <br />whelhri 5P<�uhrd hwern or nnl 1he y�anfvig ol e perrnd rlors nnl presurnr fo gn <• .wlhnnty (o I j�[�lM�Td <br />violafe or rancrl �h� provrs�ons o!. ny ofhPi Slalc or IOCAIIa�v �epul;��rnq tonsfrurl�on or �hr �^ I 1 1 I� ( I� <br />peAoimanre ol cnnshu[fron I h,�� 1 arr� ;iu!horqed by Nrc owrrni ol fhis prop�dy fn prilonn Ihr t �� I � <br />warF loi wh¢h .�ppGc;d�nn r: msG•:�nrl I cornply wdh Ihr Sl;dr Conlr.vCloru l:�w 1 H 7/ 17CW end _ _ <br />746:00 W/IC <br />1)pf1I1Q :/1Qtlll'Y <br />- S�nnnlrv. ___—.___ <br />I �n.vu.inun,�r..��. <br />l0/15l"1014 <br />U;Jr ___ '._ _ <br />PH <br />