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DEC/07/2015/I�70I�I 02: 10 PP1I FPI Seattle FAX No, 42�290960C1 P, C101 <br /> ELECTRICAL PERMIT ,APPLIC/�TIQN <br /> CITY OF EVERETT PERM�T SERVICES <br /> 3200 CEDAR STREET, EVER�TT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www,everettwa.org <br /> 2702 COLBY AVE, �VERETT,WA 98201 <br /> PROJ�C7 ADDRFSS <br /> PEO�T.ES BANTC 2702 COT.EY AVE �VET�TT WA 425 355 5500 <br /> Owner Mali Acidress City State/Zip Phone <br /> SAME AS OWN�,R <br /> TeC1Ant Mail Address Clty State/Zip Phone <br /> FIP.E PROECTION TNC 1730 GI�SON ROAD EVERETT, 'WA 95204 4252909600 <br /> EIeCtYIC&f Confractor Mail Address Cfiy Sfate/Zip Phone <br /> FIFEPI*021ML 03581� <br /> State License Number(required) City of�v�r�tt susiness License Number(required) <br /> BAI�TK�RANCH 1200.00 <br /> F'roposed Use of e��j��Jjng ContraCt Price of Work <br /> DAVTD MOW 425 290 9600 <br /> Square Foofage (If residantial new construcfion, remode! or acidition) Contact Person/Contact N�m�ber/Email <br /> 17 DA'V'TD�FPISEATT��E.COM <br /> Number of devices(If low voltage) <br /> Descriptlon of work to se Done� IVL��N LOW V�I,TAGE Fr1�E ALARM P�R pLAN <br /> � FEE <br /> CITY OF EVERL7T LpCAL SALES TAX CODE IS 3105 <br /> f <br /> f l, <br /> I hereby ce�tify that I hava read and exsmined this applicafion snd know fhe sarne to be true snd ' � � ��' <br /> correct. A!/provisions oflsws and ordinances governir�g this type of work wll/be cvmplefed <br /> whefher specifiod herein or not, The g�anting of��f�ermrt does not prosume to givs autftorrty to P�RMIT# <br /> violata or cancel fhe provislons of any other sfate or loca!!aw reyulating canstruction or the � <br /> performance o�on�¢ruction. ThaF I am authorized by the owner of thrs property to perform the � �C,7�� — G��j �7 <br /> work foC.wf3'ich�p/�llcaElon rs n ade and I comply wifh Ph�State Contractors Law 98.27�GW and <br /> :_�9fi:200�q.G�. �-' <br /> .� /'~' �; �r � ,� ,.�..."''.�.�'_ 1L�7�15 <br /> .i�� '�� <br /> Signatu /" Date <br /> C_✓ <br /> PT.EASE CA�,L FOR C12EDTT CARD #425 290 9600. p�,EASE FAX COPY O�PERIv1IT <br /> REVISED06/O6P2014 TO 425 353 4546 <br />