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FROM :Dick Howard & Sons Electri FAX N0. :4257765895 T .n. 17 201� 12:BBPP1 P2 <br /> EL�CTRICAL P�RN�IT �►,PPLICA�'ION <br /> CITY OF EVER�TT QERIUIIT SERVICES <br /> 3200 C�DAR STREET, �VERETT, WA 98�01 <br /> 4z5-257�5810 � FAX 425-257-8857—wwrN,everettwa.gov <br /> p�C.oOS �►.; c�.�ar '�v=t, �.,...� U� <br /> PROJEC"C ADDRESS ` ``�� �-3_.'�SG� <br /> �` � <br /> K-` - �.�r.�.�� lL�-r �ve �IO=� �,U'�� <br /> Owne� Mail Add ss Cfry 51ateJZip Phone <br /> 1�enant Ma�l aedress - <br /> Clty State/Zip phon� <br /> ���y�k� �� t� � <br /> ^t� �c��— "�--� � —� ��� � <br /> �lectricaf Contractor ���`qa, C r.,L , ` �,��'��� � . �� �� �[� ���p��t- � <br /> --�«i__... <br /> CiLy State/Zip Phone <br /> T��C:,��1-�s�E 3�121,� C� i F L-k�-t 1P <br /> 5tate Licens�Number(r�quiredj �� City of Ev�reft 8usiness Lfcense Number(required)� <br /> ���V � <br /> Proposed Use oF Quiltling Contract Price ef Work <br /> Square Faatage(ff residentiai new construction, remodel ar ad i' �����a,��•� � I� i� ---- <br /> d bon) Contact P�rsoNCon�-act IVumber/Emaz� <br /> � C�1n s��,j�v�v��-�.�-�_�rv,��� - �-�v� <br /> Number of davices(If low voltag�) <br /> DescripClon nf Work to Be Done: ���� � ,� -�� \�' ��..�"� � " <br /> , '(Y��_CN27s..,��,.l��ti�,_--� <br /> ��� <br /> C1TY OF EVER�7T LOCAL SAI��7AX COD�13 310s � i <br /> I h�reby certlfy th�t I have reed and examined fhis applicafion and know the s�me fo be true end � � � ` <br /> correcf�. Afl provisfons of�aws end ordlnanyes govemfng this type of work wi/I be completed <br /> wheth9r specliled herein or not_ The granting of a permit does not presume to g�ve aufhoriqr fo PERMIT# <br /> violete or cancel the provisfons of eny othsr state orloca!lew reg�ulating consfruction or the <br /> performenCe of constructron. That l am authonzed by the owner of this properfy to perforrn the E I ��( ` �O � <br /> wprk for which sppUcafion is mede a»d!comply wrth the State Contrsctars Law 18,27 RCW�nd�� � <br /> - 296.200 Wi4C <br /> l <br /> . � � I <br /> S� Date �� <br /> REVfSED OB/O���q <br />