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from:Pacif�c Power <br />� <br />253395�145 <br />10/03/2014 11 28 "403 P.005/007 <br />. <br />�L��.r��Y��� i�E.�IYYi� f"Y��LP.�..+��A�C� <br />CITY OF EVERETi PEFZMiT SER\110ES <br />3200 CEDAR STREET, EVERETT, WA 9820� <br />425-257•fi810 • FAX 425-257-8857 — www.everettwa.org <br />3�kb2 'c� c�c�uc <br />PROJ'cC7 ADDRESS <br />/��6-1 �F <br />� l�f��-��f' <br />O�vner ���tad AOdre;s C�ry Stalc/Z�n <br />�QY�� 0 G�.� �z,b 6Vi <br />7enanl t.1a�i Adtlress C�ty State!:.�a <br />1��%,M! Fi (',1�''il��'�,�' ��a �'171,1.D �.0 <br />Elect�ical Contractor r�ad nadress <br />P�4 �s-� n� � c�� D� <br />Stato License Number (�eqwretl) <br />Proposed Use of Building <br />Square r'ootage (II res�tlenlial new cnnstruc�ion. remotlel or addition) <br />lJumber of devices (II low volla9e) <br />Phone <br />Phone <br />� � 5��«a�P ac��.�c�sPh6p;� <br />�' � I I � <br />Gily ol EvereU Business License Number (required) <br />�asa. �D <br />Contracl Pncc ol Work a��j, <br />131bQ�i�_ �1 O�eS ���(�J• <br />Contact PersonlContac; NumbedEmad q p"' —'1 <br />Uescnp6on of Work to Bn Done� n� Y��i��� � v�� �l�' ��� S- -�.X� � �� � <br />CITY OF EVERETT LOCAL SALES TAX GODE IS J�OS <br />1 heraby cerLly fhat I hnvo read and exammed fhis opplicat�on and know the santo fo bo frue and <br />corzec( Alf provisions of laws and ordinancos govermng this type of work will bo conrplofed <br />�vhefher specified heiein or not The grentmg o( a permif does noi presume to orve authonty fo <br />violafa or cancel fho Vrov�sions ol any ofhor stato or locallawregulahng constiucti �n or Ihe <br />peAormanco o! consfrucfion. Thal 1 am aulnorizod Ly tho owner vl Ilris property fo porlorm fhe <br />n�ork lor which applicalion rs made and I comply wifh fhe S�ate Gontractors Law 7A.27 RCW and <br />n� vr�pD a6D5Ro�< <br />FLC — — — � <br />r- 06 <br />�� _ <br />PEkMIT: �\ <br />EI�{-(� - 03.I `, <br />