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EL�CTRIC�4L PERMIT ARPLICATION <br />CITY OF EO/ERETT PEF�MIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www everettwa.org <br />(.i�G�` � � �� � � �? �ve.J �1L � <br />i i] 02 EV= ^__'P] L.'AY <br />PROJECT ADDRESS <br />UNiOtI 3Nvri <br />Owner <br />SA; �E <br />Tenant <br />6523 FVe:i2GREEN WAY <br />Stad Atltliess <br />Mal Atleress <br />EVERETT <br />City <br />Ciiy <br />14A, 961.04 <br />Slate�Lp <br />5tate2p <br />A25-356-2159 <br />Phone <br />Phone <br />j i.iGHT DOCTOF„ LLC 2i706 66TH AVe WEST t?OWTLAiL•: TERRACE ki+ 96043 425-.8i-SCO1 <br />ElecNcal Contractor hlail ACdress Gty State2ip Phone <br />ILIC}{7'�L954L9 52500.00 <br />� Slate License Number Convact Pnce of Work <br />COtdMERCIAL <br />Proposetl Use of Building <br />Square Pootage Qf residenhal new construction, remodel or addiUon) <br />Number of devices (If low voltage) <br />Descnption of Work to Be Done �EPLACI[J: PARFIhG POLE/PI%TURF. <br />tiR?K SHREFeNER <br />Cwtact Person (Plan Review) <br />i FEE <br />I <br />I CITY OF EVERETT LOCAL SALES TA%CO�E IS 3105 // 7� v <br />� <br />' hereGy certdy fhat I have �eaJ and eaamived fhis applicafron and kno�r fhe same fo Ae We and <br />correct All pmvisions o/ laws and ordinances govemm9 fhis type ol work wdl be complefr.d <br />whether specifed hemin or noL The granGng ol a pemiif does not presame to give autlronty fo PERPIIT# <br />vioiate or cancel fbe provisions ol any othersfafe orlocal law myulaling conslnicfion or the � /���� `� � <br />perlormance o! conswc(ion. 7hat 1 am authonzed by fhe ownerol fhis propeny to perlomi the � � <br />� work lor whrch allplieatron��s made and I cornply with fhe Sfate Conf�ar,�ors Law 18.27 RCW and <br />