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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.gov <br /> Oast_ c( -Par- <br /> 33 3E" 6/e Neffw,t,,, ace- wig 98168 rV.�f <br /> 1 <br /> PROJECT ADDRESS <br /> Attk £ W2511in roil 33 EEv -d+Mel way ovate -I- v VA /VS-433-533o <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address. City State/Zip Phone <br /> NW S>v„cc1-9 & Sou4 LW IZot Ibt`l f 5oIklOI ,6I'11114r&5h WA NMI 36:6-(c31-41zoo <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> r .NWS6C-5 S 9 I q Ph tr2 S-4- <br /> State License Number(required) City of Everett Business License Number(required) <br /> tit WiZ$S <br /> Proposed Use of Building Contract Price of Work <br /> NJ/A ate# A.Peet yZS=4 31zz v.10244144004.cow, <br /> Square Footage(If residential new construction,remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: 4 ili aC�SS corn+bL t(.Q$ 'f 444 bate 7 etlifry <br /> Nei- <br /> FEE <br /> FEE /S 00 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 tit _air`.'f <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 c,, struction. That I am authorized by the owner of this property to perform the 7 <br /> work for which .a•ication is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WA(i. <br /> l " rl20s <br /> Signa e I Date <br /> REVI D 08/06/2' 4 <br />