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• • <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 /> PROJECT ADDRESS <br /> Everett Housing Authority 3107 Colby Ave Everett WA, 98201 425-303-1121 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> West Coast Electrical Services 12527 Mukilteo Speedway #103 Lynnwood, WA 98087 425-322-3189 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> WESTCCE897PQ 05-34/.1( <br /> State License Number(required) City of Everett Business License Number(required) <br /> Residential 5,800.00 <br /> Proposed Use of Building Contract Price of Work <br /> 950 kyleadams@wcelectrics.com <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: Residential remodel, new circuits, outlets, switches and lighting <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 C 5 <br /> /hereby certify that I have read and examined this application and know the same to be true and _ <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 (c202_- <br /> work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br /> 296.200 4 A <br /> z/tct lq- <br /> Signature Date • <br /> REVISED 08/06/2014 <br />