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J <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 6��6�I s <br /> C- � 5os--��6 <br /> l6 Hewitt Ave Everett W A 98201 <br /> PROJ CT ADDRESS <br /> Vrriirin Wirelr�: 3245 ISRth Ave iF. Rcllevue WA 9R008 <br /> OWner MailAddress City Staie2ip Phone <br /> VPri�nn �NirPleee Il02 Hewilt Avc. L•.veretL WA 9R201 <br /> TenaN Mail Address City StatelZip Phone <br /> _Joh�nsen Mechanical. Inc.20109 144th Ave NE. WooelinvL�,WA 9R072 425 481-2266 <br /> Electrical Coniractor Mad Address � City SWte2ip Phone <br /> InIIANAAl9(,9P7 n2nz�r, <br /> Stale License Number(required) Cily o(Everelt�usiness License Number(required) <br /> Cnmmunic2tinns $600 <br /> Proposed Use o(�uilding ConVact Price oF Work <br /> Davc Phillips, 4?5-481-2266, <br /> clave�l�II17allSeunlP['h rnm <br /> Square Footage(If residential new conshuction, remotlel or addilion) Contact PersonlContact NumbedEmail <br /> 2 <br /> Number of devices Qf low vollage) <br /> DescripGon of Work lo Be Done: 1)ivr�nnrrt fir rrrn�uivrt � AC� unit� <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 / _O �� <br /> l� <br /> 1 hereby ceridy ffwl 1 have read and examined Ihis applicafion and know(he same lo be true and <br /> r.onecL NI provisions oll�nis and nrdinancr.s govr.min�fhi�type ol work�vill br,conrpletr.d <br /> whcNie�spr.ci�ed'�erein or nof. Thc granfing ol a pem:it does nol presumc•(o givr, auUiority fo PERMr�# <br /> violate orcancel the provis�ons o!ony ofhcr state or local law regulafing conslroction or Ihr, � <br /> pe�formanr.e ol consfruction. Thal 1 nm aufhoiized 6y Ihr. owner oI fhis propedy fo perlorm fhe E I D�^ I 7 /_ <br /> work lor whir.h appl�calion is rnade and I comply wifh Ihc Sfate Confrar.lors Law 18.27 RCW and v�0 <br /> 296 20 lIC. <br /> S�Zo�s <br /> 5 qn e - DT <br /> nEV15EnoY�oNJO�a <br />