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07/29/2014 15:31 2532862156 GARNER ELECTRIC PAGE 02/02 <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 - Wvvw.eve,retPNa.org <br />-7- <br />C-►yo1- 'Olt) <br />._tt VL aptoe `1 <br />PROJECT ADDRESS <br />�I-o - <br />Address Coy Stnte/Zip Phone <br />Tenant Mall Address CRY Stnto2lp Phone <br />Electrical Contractor M)8 Addrear CITY Statel7.in Phono <br />btate License N bberr K <br />Proposed Usr:444Aullding r <br />Square Footage (If residential new constnrchon, remodel or addition) <br />Numbor of devices (if low voltago) <br />Description of Work to Be Done <br />CRY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Contract ork <br />Contact Person (Plan Review) <br />I horuby certify that I have read end examined this application and know the some to be true and <br />correct. All provisions or laws and ordinances governing this type of work will he completed <br />whether specilied herein or not The granting of a permit does not presume to give authonty to <br />vloiafe orcancal the provisions of any other state or local low regulating consfnlclion or the <br />porfomtance of consinichon. That I am authorized by the ownerof this property to porform file <br />work for which op lication is made a d I miely with the State Contractors Low t6 27 RCW and <br />296 200 WAC <br />4 to '— <br />RINSE) :90nJ <br />rLL 6 <br />0 o' <br />peRwrra <br />E 1 LFo -7 -17o <br />