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.bytai • <br /> Ocyfek-1 <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 /> 1-114DEA E eTr WA- 982x1 <br /> PROJECT ADDRESS <br /> Owner Mali Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> 42.5-716-6'111 <br /> Lc o52;b t-r*i sT" 6'w Li to o dbob wp1- ciessG <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> 1CTWVE• $MS 026 2.4-{$ __ <br /> State License-Number(required) City of Everett Business License Number(required) <br /> 't 32S .00 — ---- <br /> Proposed Use of Building Contract Price of Work <br /> MATRAMI WALi MA/1/41 425-218-l 764-1 <br /> Square Footage(if residential new constriction, remodel or addition) Contact Person/Contact Number/Email <br /> Number o devices(If low voltage) <br /> GG � A�`t � /� ' cam -(� <br /> Description of Work to Be Done: grG Ve- 4- R 1?C-o �{STLN& ( li EIj__EiX 1.__ <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 t OD <br /> I hereb$r certify that!have'read and examined thlsjappllcatlon and know the same to be two and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed -whether specified herein or not. The j/nnting 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!am authorized by the owner of this property to perform the <br /> work for which application Is made and i comply with the State Contractors Law 18.27 RCW and _ <br /> 296.200 WAG. <br /> --Signature. Date <br /> It <br /> REVISED 08/042014 <br />