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Aug 06 13 02:33p p.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 /> 110) Rake t•r P<T'e, <br /> l PROJECT ADDRESS <br /> • I <br /> T ��.t lde 5 2. t1 Z2 4E l2q m C1 \Mti lrkV 71 <br /> Owner Mail Address City StatefZip Lk-25 --u„Io hone <br /> Tenant Mal Address <br /> City tatelLp hone <br /> 425 3y ��� <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> State License Number Contract Price of Work <br /> Lt1 <br /> bra, <br /> Proposed Uf Building ` <br /> Contact Person (Plan Review) <br /> Square Footage(If residential new construction, remodel or addition) <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: \ 3 ,, aa <br /> �r `C`E�1L.�ene._Qi <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify that I have read and examined this application and know the same to be true and aQ <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 gr <br /> violate or cancel the provisions of any other state or local law regulating constni t/bn otrthe tD PERMIT# <br /> performance of construction. That I am authorized by the owner of this property to perform the E I -- OZ - D YZ) <br /> work for which applicntinnrr is Glade and I comply with the State Contractors Law 18.27 RCW and V <br /> 296.200 W <br /> tu <br /> Date <br /> M( ukzs 31A -10 5b <br /> REVISED 320v15 <br />