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Ah <br />r1 <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 />C/y/0 `IG <br />6308 Evergreen Way <br />PROJECT ADDRESS <br />Evergreen Way LLC 5603 llth Ave NE Seattle WA 98105 <br />Owner Mail Address City State/Zip Phone <br />O'Reilly Auto Site Address <br />Tenant Mail Address City State/Zip Phone <br />TubeArt 11715 SE 5th St Bellevue WA 98005 206 264 2954 <br />Electrical Contractor Mail Address City State/Zip Phone <br />TUBEADI11ONH $100.00 <br />State License Number Contract Price of Work <br />Shawn Bowen <br />Proposed Use of Building Contact Person (Plan Review) <br />Square Footage. (If residential new constnuc..on, remodel or addition) <br />i <br />Number of devices (If low voltage) <br />Description of Work to Be Done _ install one replacement reader board <br />FEL r' I <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 v� O �� II <br />I hereby certify that I have read and examined this application and know the same to be lire and <br />correct. All provisions of laws and ordinances governing This type of work will be completed <br />whetherspecirred 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 constmction or the r <br />performance of construction. That I am authorized by the owner of this properly to perform the E 1 4 I O - I & E <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAG <br />Sig O Dale <br />REVISED 3WI3 <br />