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425-259-2794 01:2047p m. 11-02-2015 212 <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—www.everettwa.gov <br /> 29 o 1 5 71b- St . 511 , EV&46 99213 <br /> PROJECT ADDRESS <br /> vaWkIl Hdwlk �om�, as oroies _yds 15� -3 62 <br /> Owner Mae Address city stale0p vn� <br /> Tenant Mall Address Gly Stale0p Phone <br /> t5nh>!I SY Qg-f'h c. 2°IISChrEcknuk �+.. . Fv Wfl 2j2ol q2$- 2 - Iu <br /> Electrical Contractor Mee Address City Stale/Zip Phone <br /> ,%AW1Li9qqQA1 IS116 <br /> Stale License Number(required) City of Everett Business License Number(required) <br /> - 1 1L-00 <br /> PropWed Use of Building Contract Price of Walk <br /> 3308 Jnnu Tau y 19-57Z <br /> 5 ware Footage(If residential new construction,remodel or addition) Co tact erson/C tett Number/Email <br /> J @seaWA ,tom <br /> Nufnber of devices(If tow voltage) A (' ,y <br /> Descrip0anofWork toBeDone jLjjkU6n & CIYCL,Itk in DrkY iD CAOmmNih-k 6V- <br /> 5b a) <br /> V5bal <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 k ✓� O� <br /> a <br /> 1 hereby comfy that I have road and examined this application and know the same to be true end <br /> correct Alf provisions of laws and ordinances governing this typo otwork will be completed ---� <br /> whether specified heroin at not. The granting of a permit dons not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the Ir I I I <br /> performance of construction. That I am authorized by the owner ofthls property to perform the ✓J <br /> work for which opplication Is made and 1 comply with the State Contractors Law 18 27 RCW and _Oil _ J <br /> 208.200 WAC " <br /> (1fg44 10 ►7 I -eL- U15 <br /> I_ 5 g elure Dble <br /> ptvrstnewamr. 333H"'' <br />