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Boyer Electric Co 2063674575 p,1 <br /> • <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 /> ' 6N " ice-, \) C�IGtC�.QV "vI 40-g <br /> PROJECT ADDRESS V <br /> °wrier Mair.Mdress City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> 42C5 'J1 <br /> Elect ' I ontractor Mail Address City State/Zip Phone <br /> State Lice se 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 tact er/Email <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: *LL_Tx- isr\ C <br /> aiNo <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 • <br /> "✓�a 0 <br /> I hereby certify that 1 hama 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 1 am authorized by the owner of this property to perform the E 65 <br /> work for. ich application is made and I comply with the State Contractors Law 18.27 RCW and (p <br /> 296.200 AC. <br /> signature Date <br /> REVISED 08/0520f4 <br />