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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 /> fic Sr SF L <br /> PROJECT ADDRESS /,2u��" <br /> ii/Znl/t— Ona 71 o y fr-st 9/ 3 / v/; <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> V Et f i P o SCk / i / 4 110 e( Y )V('l '21(t/ <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> EPLAN Sit Y2_3_1) of C 3 Cep 3 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Proposed Use of Building Contract Price of Work <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices (If low voltage)llf,evji <br /> / `�,�,r <br /> Description of Work to Be Done! Cf 'J RQ_ /QVV� 0 Ur �'L�T pc �` 4i'�tiC <br /> poor °PE-kick, <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <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 - <br /> work for which appl'.tion is made and l comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> 00 <br /> Si L re ate <br /> REVISE,X8/062014 <br />