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Jan 15 16 09:30a Garvin Enterprises Inc. 3 0-653-8534 p.2 <br /> 10/19/2015 10:31 FAX 425 '257 07 EVER= PERMIT SERVICES lj�003/003 <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.evereftwa.arg <br /> Ave <br /> E PROJECT ADDRESS <br /> I <br /> E, o <br /> Owner Mail Address City Stalejzip Phone <br /> j Tenant Mail Address City State/Zip Phone <br /> Electrical Contractor Mail Address City Stateizp Phone <br /> �-�A �VY �Z9�1 r cs G391Q <br /> State License Number(required) City of Everett Business License Number(required) <br /> Z:�' QSo0 <br /> Proposed Use of Building Contract Price of Work <br /> Square Footage(if residential new construction, remodel or addition) Contact PersoniContact NumberlEmail <br /> Number of devices (If low voltage) I <br /> Description of Work to Be Hone: Ril'n <br /> r0on?-C+ e ( 17f1�f7 <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 t l� <br /> l <br /> I hereby certify that I have read and examined this application and knDw tiro sante to be true and <br /> correct, Alf provisions of laws and oro'inancesgoverning this type of work will be completed <br /> whether specified hei-ein or not. The granting of a permit does not presume to give authorky to PERMIT# <br /> violate orcancef the provisions of any other state orlocallaw regulating construction orthe <br /> pedcrmance of construction. That I am authorized by the owner of this propefty to perform the E I l <br /> work for which application is made and 1 comply with the State Contractors Law 19.27 RCW and I lY t <br /> 296.200 K01AC. <br /> J �o <br /> Signature Oa e <br /> REVISED OMW20 f4 <br />