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r"m Fax:'erii I Wed 16 JU1 2014 05:30:05 PM EDT Page 2 of 2 <br />C, J <br />• <br />ELECTRICAL PERMITAPPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />32UU CEDAR STREET, FVFF(E ir• VJA gb2U1 <br />4=5-257.8810 - FAX 425.257-8857 — www.evereii ve.org <br />7.��.l�; ilt' <br />PROJECT ADDRCGG <br />/' ,a,Yxe .: -� _.. -6& ru AV 'lf fZ l'c•Sc e:-Vae -C, 3 <br />Owner MNII Addru.a CRY Stalemp Phono <br />/ToAa'nt Mao Mike" City SlawLlo Phone <br />f/`.7��:: /�%.%•,• .mod �%.. .?L�y. '+(^_.i+___ .'Vi'./�g /i• '.L'l `a'�.�"'4.• ..�i�:�E)'W:'% <br />Electrical Contractor Mar, AWfoxs City Stridb7 Prone <br />State Licence Number Contract Price of Work. <br />Proposed Use of Bu,idwq Contact Person (Plan Raview) <br />SQuarc Footepa (Ilmsidentfel new construction, reModel oradabon) <br />Number of devices (If low voltage) <br />Description of Work to Be IMne'. r <br />CITY OF EVERETr LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that i have mod and examined this sppkeation and know the sama to be tn:o end <br />correct All provisions of laws and ordinances governing Ihis type of iwrk sell be rompkited <br />whethor apecigod herein or not. Tho granting of a permit does not presume fo gHe authority to <br />onlafe crcan.'el the provisions of any othor state or local low regulating construction or the <br />paftonnonco o.' eon.trvclion. Ihet I am authorized by the owner ofthis property, to perform $ha <br />work for whkh apphcafton is rnsda end I comply Math the State Contactors Law IS 27 RCW and <br />290.200 WAC <br />r <br />5 natt.re - w5+ <br />xcvrsro.VM2 <br />FEE <br />PERMITO ^_ <br />