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To: Permit Services Page 2 of 2 <br />2015-04-23 17:31:07 (GMT) 4257409777 From: Jeffery E Olsen Preferred Elec Lorne <br />� _ <br />���������� ������ ��������i _ <br />i�� ! I `�� �Y �.�'i►�� i����� �������a�i , <br />�200 CEDAR STR�EI', EVEl�ETT, WA 982Q1 <br />42�-257-8��Q - FAX4�5-257-8�5i—:w�nru:�wereiCwa.org <br />_ _ <br />5200 Evergreen WaY <br />Pt�OJ�CT ADDkiESS� , <br />Brien Ford 5200 Evergreen Way Everett WA 98203 800.556_7172 <br />C7wneC _ Mail �ddress Ciry _ Stata/�ip _ Phone <br />Same <br />Tenant Maii Address City Statef.�ip Phone <br />Pref�rred El��trie P:C�. ge�x ?712b S�attl� WA 98177 425.58�.9662 <br />�lectrical Contractoi Mail Address Gity SkatetZip Phone <br />PF2EF�EI���PL C}�76�� <br />Sta#e License Number(required) City of Evereft Susiness L�cense tVumber (requir�d) <br />$32,000 <br />Car Dealership _ <br />Propased Use of �3uilding Gontract Price of Wark <br />Lorne Wallitner 425.583.9662 <br />Square Footage ({fi residentia! new c;onstruction,. rerr�otiel gr additiorr) Contact P�rsor�ICantaCt Nurr�b�ClEmail <br />Muinber af d�vic�s {if tow vaifage) _ _ _ <br />Q��G�;pz;a� ofwor�to g� oa�,�; Revise li�htin� and branch wiring to outlets & switching. <br />���. , <br />GtTY QF �VEi�ETT �.p�AL �ALES Tk?G C€3D��.1S 3�i05 � O Q�� <br />�� . _ <br />I hereby certify#hat l Eaave read and e�arr2ined.fhis appticatrora and know the same ta be true and <br />corTect. At! prcr�risi�rrs c�fiaws arr.ct vrcYi�tar�ces yvvc�ininy t(�is typ� of work wi!!!�� comp/eiec� -- <br />whethar specifled herein ornot. The grarating oia �ermlt does nqf presucne to give aufharr(y lo PERMIT# <br />vaotate or cance� me prauisiorrs of�ny others�ate arlvca!laev regutat�r7g cor�structlon r�r#he <br />perfia arrce af c;ranstruc#ion. ThatJ am autharized by ttre.owner of this praperiy to perfarm the E: ����' ��� O <br />war for which application is made and I compl}! w�th the State Gontraciors Law 18.27 RG1�V and <br />29 200 WRC. _ _ _ <br />"�, y , 't _ <br />� ���- ��f 1��..--1.._ 4/23/15 <br />_ 5i�nature _ Rate _ <br />..�REVlSEDOB/Ofil2DfS . � - .. � � . . .. ... � . <br />