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Boyer Electric Co 2063674575 p.1 <br /> • S <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.everettwa.org <br /> PROJECT ADDRESS <br /> VYA <br /> Own r Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> rU. ZO-V, �c57 - .. 1 t., -�� Lam) <br /> Electrical-6ontractor Mail Address City StatefZp Phone <br /> \-)31_34EK <br /> State License Number(required) City of verett 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/ -ot Number/Email <br /> Number of devices (If low voltage) <br /> 5—e--Np> <br /> Description of Work to Be Done: <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE iS 3105 <br /> f hereby certify that 1 havg read and examined this application and know the same to be true and <br /> correct. All provisions oaws 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 I am authorized by the owner of this property to perform the E 15014 <br /> work fo which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.20• WAC. a <br /> aft. iiwkiLAI <br /> Signature 'V Date <br /> REVISED 084)6/1014 <br />