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Now <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 08201 <br />425-257-8810 . - FAX 425 257-8857 — www.everettwa.org <br />�avlb—�3 <br />3Da 3 tJ 6wc;.to <br />0,,718E <br />PROJECT ADDRESS <br />• -�bt � nc <br />Owner <br />MailAddress City State2p Phone <br />Tenant <br />Mail Address City Statef4p Phone <br />a GrowV11 <br />7 - 73� <br />Ele cat Contra or <br />Mail Address City Statellp Phone <br />State License Number <br />Contract Price of Work <br />Proposed Use of Building <br />Contact Person' (Plan Review) <br />Square Footage (if residential new construction, remodel or addffon) <br />Number of devices Of low voltage) <br />Description of Work to Be Done: <br />1�s�a // Go„a/r. 7 ,v.rc trr i'h.✓ f+t�7t �S <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 t�-(�{ Q� `[ S <br />I hereby certify that 1 have read and examined. this application and know the same to be true and L v <br />correct. All provisions of laws and ordinances govemmg this type of work will be completed <br />whetherspecifiedheMnornot The gran ft of a permit does not presume to give authority to PERMIT# <br />violate or cancel the previsions of any othermWe or local law regulating consfrucffon or the _ O <br />performance.'of construction. -That 1 am authorized by the ovmer of this property to perform the I <br />work for which appCcafion is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC: <br />REVISED 3/1[Yi3 <br />