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Dec. 27 . 2016 02 : 33 PM Alli -i Electrical Const 253770nnD6 PACE. 1/ 1 <br /> 08/03/2013 09:09 FAX 428 257 8 EVERETT PERMIT SERVICES zoos/001 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425.257.8810 - FAX 425'2578857—www.everettwa.org <br /> C49SPIN 0 P <br /> PROJECT ADDRESS <br /> IK <br /> Owner Mail Addreas City SWOOP T Phona <br /> Tenant Mail Addrass City Stetealp Phone <br /> hk1 yot-J -19A-`Po' HVQI 206 °'z 6e ' x'19 <br /> Electrical Contractor Mall Address city y'B3'J t'0Dg)State 1p <br /> 4w'7eco� � * a,j v o <br /> State Lloonee Number Contract rice of Work l <br /> f ,71 1 `�t�1 Gi 1 1✓ 1�l� i�1 i`r t?N <br /> Proposed Use of Building C ntaot Persoq aNt$bilIM) <br /> Square Footagu(If rd9idential new conatruction,remodel or addition) <br /> Number of devices(it low voltage) <br /> Description of Work to Be Dong' 2--2Q V C:.{a-0-1 <br /> FEE S O <br /> CITY C)1=EVERETT LOCAL SALES TAX GCOf:E8 3105 \ 2—S <br /> I herby certify that(have reed and examined this application and know the game to be(rue and <br /> cormcf. All provisions of laws and ordlnences governing this type of work Wirt be Completed <br /> whether specified herein or not. I'he granting of s permit does not presume to give authority to PERMIT# <br /> violate or Cancel the prvvlslons of any other state Or local law regulsbhg cvnstructlon or the I r r <br /> perlamance of construction. That I am authorized by the owner of this pmt?perty to perform the 1 l0 l <br /> work for which application is made and I comply with the State Contractors Low 19.27 RCW and <br /> 290.200 WAC, <br /> A "1 /7- 2a , L(p <br /> D a Ura Date <br /> sUDnW,3 <br /> 6046- -7 30(o <br />