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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 /> /7/a ��m6ce��cQ cuv� , E lei^e# r3eR6/ <br /> PROJECT ADDRESS <br /> 4.7-2 5 <br /> 41 �{ 5 r^' G/ / 7�a G o.yl ��^� �e✓e � ettX 14 q8 i jc 7 -7607 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address f,L City State/Zip Phone <br /> 50 ZS a Z ���, u) <br /> $;iIebei' Ekiii�i(_,L.v�G. #A Limtbcd ti-49. %' C) 7 y-�.5 7 / -. � 7c);" <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> State License Number Contract Price of Work (� <br /> Proposed Usf Building Contact Person (PlaniZeview) <br /> 730 sC <br /> Square Footage(If resit H'al new construction, remodel or addition) <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: Pot)/cYe, /1,e& RCCA • [came/l fj(,-e5 s e-"0)c__,e <br /> C L v r % cAi '� f 14. ���a n � o / /) . �� e� 1-6 <br /> A, LJ5e1 / `i r`v� 7eJ`v�ce wi ci u D oel po -e. <br /> �J <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105r 00 <br /> I hereby certify that I have read and examined this application and know the same to be true and J <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 autho ',ed by the owner of this property to perform the E ` I U 3 _., 059 <br /> work for which application is made a ••y with the State Contractors Law 18.27 RCW and <br /> 296.200 AC. <br /> .?//e•?//� <br /> Signal / <br /> REVISED 3/10/13 <br /> 5E /3// 7 <br />