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10/05/2015 02:37 #7391 P. 001/001 <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-everattwa.90v <br /> PROJECT ADDRESS �. <br /> Owner Mail Address City State/Zip Pilose <br /> Tenant Mail Address City Statel2ip 4_12J Phone <br /> JIs <br /> Electrics!Contractor Mail Address city Phone <br /> 01 <br /> State License Number(required) City of Everett Bu mess License Number(required) <br /> VA1 <br /> Proposed use of Building Contract Prise of Work <br /> Square Footage(If residential now construction,rernodel or addition) Contact Parson/Contact Number/Email <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done- - -rAFF, 1�,( 1.� 6 <br /> FEE <br /> CRIT OF EVERETT LOCAL SALES TAX CODE 18 MOS <br /> I hereby certify that t have read and examined this application and know the sante to be true and V <br /> correct. All provisions of taws and ordinances governing this We of work will be completed <br /> whether 4wi6ad herein or not. The granting of a permit does not presume to give authority to PFRMTT# <br /> violate of cancel the provisions of any other state or local law regulating construction or the ,.- o✓ <br /> performance of construction. That I am authorized by the owner of this property to perfomr tete 1�^J <br /> wnr*for which ap kation is made and/comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> S' to <br />