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May, 27, 2015 2:30PM <br />No, 0668 P, 1 <br />EL�CTRICAL, PERMIT APl'LICATION <br />CITY O� EV'�RETT PERMIT SERV�C�S <br />3200 CEDAR STREET, �VEI��7T, WA 98201 <br />425-257-8890 - FAX425-257-8657—www.ev�rettwa.org <br />���/� %�f �, � <br />PI�OJEC7 ADbtt�SS <br />Owner <br />l� <br />Mail Address <br />Mall <br />�1� 4 <br />f e lloense Number (required) <br />/ ��� <br />Proposed Use of 8ullding <br />�BU <br />Square �ootage (If residehllal neW construction, remodel or addllion) <br />1n' �� ► �¢��.o � � � c�ro c� � <br />�VU171ber of d0vices (If low Voltage) <br />Descrlption of Work to Be bone: �o,dlria� rca, �i J�. <br />�.G L LG S�,¢l.i� !�-/M �U /!/ T ~ <br />0 <br />Ciiy <br />Clry <br />i/ �� ��� <br />/IO��I <br />� ♦� , � � <br />CITY OF EV�RETT �OCAL 5ALES 7'AX COA� IS 37 p6 <br />� <br />Stalelzlp <br />V� <br />Slate/Zip <br />Phone <br />Phon9 <br />�c�,� �� �'� �'��z <br />St��e� Phone <br />O�d18��� <br />Clty Of Evareft Business Lleense Number (reqUlred) <br />�`r���, -- <br />Contract Price of work <br />C, ; Pa� rPer n/C�tac Number/�m�il <br />W liCl � `- �— �� <br />���y�- �3� <br />r" _ _-7- � � <br />C.c�.S <br />1 hereby ceRlly fhAt 1 have read snd examfned lhis application and know the same fo be true and <br />correc�. Arl provisions o�laws and orrlinances governing thls type ofwork wrll be complefed <br />whether specl�ed herein or nof. The gran�ing of a parrrrit does nof presume to give aufhority to PERMIT# <br />violatv or eance/ fhe provlslons of any other sfate or loea! law regulafing constrr�retlon o� the � I�� <br />perfoimanee of consfruction. 7"ha(1 am authorized by the owner of thla property to perform the � S-- ( 5�� <br />work for which appllcation �s msde and ! comply with fhe 5tafe Cor,traetors L.aw 18.27 �CW snd <br />��-��� 7�� - ���a <br />REVI3EAOBroH�074 I,U l� � � Q � e�� ` <br />a <br />