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• • <br /> ELECTRICAL EM I APPL.RI,ATI <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425.257-8357 - ut1 tvt.t).e.' • - 1+/4 cid V <br /> t 0 <br /> L- io f,• <br /> .fir <br /> PROJECT AaDRES;a. <br /> 1D ' / I 6,-1 L 4 L l 7 ) <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address — City ._. . �.. - State/Zip Phone <br /> M ,b014ll10 `,LG—LTl-I 20 enX tj t n , LtC et S c�� !,� t-GL-v�Jr.,,� A (tel?,5) F/7.-2012 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> Al'.c b% L t 130`6 LI 02.4.C: 1 1 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Proposed Use of Building Contract Price of Work <br /> Ts <br /> elms. -► vk <br /> Square Footage (If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices (If low voltage) <br /> Description of Work to Be Done: CC''S 1lL t)-(Rt'y SAV i N 6 ILe- (i.:)&E E7wj- G`r_ S: <br /> r.;\ r4A t-u IT-S <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> .7 <br /> /hereby certify that I have read and examined this application and know the same to be true and <br /> ✓ <br /> correct. All provisions of laws 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 construction. That I am authorized by the owner of this property to perform the E 1' I I_ 070 <br /> work for which application is made and l comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> 17/CfL <br /> Signature 1 Date <br /> REVISE°08/06/2014 I L L- -I'�) /J,�-1 • <br />