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Aug, 5, 2013 4: 57AM NH1rsant Solutions No. 0383 P. 2 <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 /> J003 ESTiNo � n <br /> PROJECT ADDRESS <br /> -VtN6 f60E.1 N (1 (O K A Pb °JAo 3 W StvA RO E u 2.E i T �ti'C Q nA ., <br /> Owner Mail Address City State/Zlp Phone <br /> Tenant Mail Address City State/Zip Phone <br /> -AG*NI 0 1. la/ W 'T s� � : 4w Ir. tJ i.f Ott ei&75 9 .:.- 1100 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> bieT\I6 51 _81-0tq x[ 000 , o0 <br /> te License Number Contract Price of Work <br /> pro t <br /> Proposed Use of Building Contact Person (Plan Review) <br /> 10 o0 <br /> Square Footage(If residential new construction,remodel or addition) <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: 'SZ W(,L. 410 E P'L)r\ CA's 5 6^ "S;t4 1A 1.t.N €S <br /> tN Q v c_,ApccE 9 -OA\ T2A-1)G\ 11-5 - 6 L1 <br /> FEE.- - ----- <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 5-()09 <br /> l hereby certify that I have read and examined this application and know the same to be into and • <br /> correct. All provisions of taws and ordinances governing this type of work will be completed <br /> whether specified 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 construction or the <br /> performance of o clion. That I am authorized by the owner of this property to perform the E1303-033 <br /> work for whic ,,,1.1 f ation is made and I comply with the State Contractors Law 18.27 RGW and <br /> 296.200 W' <br /> Date <br /> REVISED <br />