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03/14/2014 03 : 29 #4309 P. 001!001 <br /> ELECTRICAL PERMIT APPLICAT�ON <br /> CITY QF EV�RETT PERMIT SERVICES <br /> 32Q0 C�DAR STR��T, �V�R�T7, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —wWw.everettwa.org <br /> l�� y �11���1��' �,�f� <br /> PROJEC7 AppRESS <br /> �21d' <br /> ����1 /� � �.e�.+,��� /d'a�� 1��l���c J � dr�f �� y�- <br /> a1Vf1Ef Mail Address CRy Statelzip Phone <br /> Tenant Mdil Aq4f�ss Crty State/2ip Phone <br /> ��l�`.� �J /"V ��� �7 �� �� �i� �`�!'� /�L-�� <br /> �lectrlcal Contrador Mail Address Ciry StatPJZi� Phone <br /> �-�- <br /> ��1�-�.��.?��-�-P �,,��`.���> <br /> � <br /> State License Number� r Contract Pr�ce of Work <br /> � <br /> Proposed Use of�uilding Contact Person (Pfan Reviaw) <br /> Square Footage(If resideniial new canstruction, remadei or addition) <br /> Number of devices(If low vottage) <br /> Descrip#ion af Work�0 8e Done: /�'1�� ��_,QC�('��/ [� � IC��� - Cl G.{�/� <br /> �� /V�f/ V �f'�r�!Y � �!"�� ` � - •f J1F C .�� Of�[G Y,T 1�� <br /> ��� <br /> CITY OF�V�RETT LOCAL SALE&TAX COpE IS 31A5 ��� <br /> I hereby ceRify that 1 have r�ad and�xamined tRis�pplicafier7 8rtd IvaaW fAe same to de trua and <br /> cor�ct. A!J provisions of laws and o�inances goveming thrs typa of work wil/be completed <br /> whether Sp6Cihsd herein or not. rhe grandng�l a permrf does rrof p�sume to grv�suthority fo PERMTF� � <br /> vio/at�or calice!the provisians of any ofh6r sf�te o�loca!law regulating eonst►uction or the <br /> p�Aormanca of nsfi�uctiorr. ri►at l em euthomed by the owner af th�s property to perfom�fhe E�,���`�� � '�(J � <br /> wori�for whic plication is mad�and!comply wifh the State Contrsctois Law 18.27 RCW and <br /> 298.200 W <br /> � <br /> na ure te <br /> rzevrsf0 3�za,7 <br />