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Ah 'Aft� <br /> 1W '-4W <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> 3822 Colby Ave Everett WA 98201 <br /> PROJECT ADDRESS <br /> Dr Kang Investments LLC 9216 112th Ave NE Kirkland WA 98033 <br /> Owner Mail Address City State/Zip Phone <br /> Dr Alex Kang 3822 Colby Ave Everett WA 98201 425-258-3130 <br /> Tenant Mail Address City State/Zip Phone <br /> Luns-,"rurn electric Inc 15372 Juanita Dr Ne Kenmore WA 98028 206-930-0057 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> LUNSTE11882NH <br /> State License Number(required) City of Everett Business License Number(required) <br /> Dental Clinic(non surgi al) $19786 <br /> Proposed Use of Building Contract Price of Work <br /> 2250 Peter Lunstrum lunstrLimelectricCcDgmail.coir, <br /> Square Footage (If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: 55 outlets 12 SWitChes 36 lights <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> /hereby certify that/have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That/am authorized by the owner of this property to perform the E 140q - jq3 <br /> work for which application is made and/comply with the State Contractors Law 18.27 RCW and <br /> 296,200 WAC. <br /> Peter LUnstrum 9/24/14 <br /> Signature Date <br /> REVISED 0810612014 <br />