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47F3348917 p.1 <br /> ELECTRICAL PERMIT APPLICATION i <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> PROJECT, iln cul . J <br /> CT ADDRESS • <br /> "` ." <br /> Owner E"� cult1 2� <br /> Mail Address %A-CA-'0 • Cly I4 <br /> City ••'i% ` OW <br /> State/Zip <br /> Tenant phone <br /> Mail Address <br /> ' WU-1'}� CSC 7 CIS <br /> State/Zip Phone <br /> Electrical Contr_ '..r. k C. '��-5 �J �� ��7� >I } <br /> Mail Address Le <br /> City 'Ct ' krT22 c J/4 9 ( <br /> } State/Zip Phone <br /> fig. r <br /> State License Number 00 <br /> Contract Price of Work <br /> .(_- , '- G <br /> Proposed -- of Suildin•/ r (2 but.,1 <br /> contact Person (Plan Review) <br /> 1-f.3-S- 3t3c?- Ce.3r7 ! <br /> Square Footage(If residential new construction, remodel or addition) <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: Pk.6).R. ►l1 r7 <br /> t X.LCI ~t11— <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I 9` OD <br /> I hereby certify that I have read and examined this application and know the same to be hue and O <br /> correct. Al!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 15O 5 — IS <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and I <br /> 296.200 WAC. <br /> 5 <br /> Signature <br /> `�II—r <br /> Date <br /> REVISED 32N13 <br />