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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 /> 11'00 (2)ftik iJ;c a 9820( <br /> PROJECT ADDRESS <br /> ?CDU1cQ.01CL Qe5i ona.1 Alex._ I <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> VECA � eckr�� d gO>C f0,q0"" _c_11 � itA Cl( pvir!n-436.-s2oz) <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> V' cAeSti2mu X0 9 5 <br /> State License Number(required) City of Everett Business License Number(required) <br /> 3600,oc, <br /> 7 <br /> Proposed Use of Building Contract Price of Work <br /> r <br /> 266-8so-7138 <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices (If low voltage) Ake-Description of Work to Be Done: Ake- ClecirtC ytn6c tL;U✓i S <br /> bco/Ks a- ,r- OQ- 208 2Nb Fkoi <br /> 7-w% , ©P- <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 \22 <br /> I hereby certify that I have read and examined this application and know the same to be true and <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/am authorized by the owner of this property to perform the E i I Z— 12 <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> • <br /> ,,u,Nat14,11,1A 12t6 t --- <br /> Signal to <br /> REVISED 08/06/2014 <br />