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Cf) <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> C) 3200 CEDAR STREET,EVERETT,WA 98201 <br /> W425-257-8810 FAX 425-257-8857—www.everettwa.org <br /> U) <br /> 0 <br /> :3 PROJECT ADDRESS <br /> (D <br /> Owner Mail Address City state/Zip phone <br /> f RYU l <br /> Tenant Mail Address City Statieop Phone <br /> M <br /> Phone <br /> Electrical kontr ctor Mail Address City Sta e/Zip <br /> C1 Z <br /> State License Number(requFr-ed) ?ar <br /> Cityf o�llBness.License Number(required) <br /> Proposed Use of Building Contract Price of work <br /> 'Square Footage(If residential new construction.remodel or addition) Contact PersoNconlact Number/Email <br /> Number or devices kit row voltage) <br /> Description of work to Be Done: sa, <br /> P"-j • 4r <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 00 <br /> 0 <br /> I hereby certify that I have read and examined this application and know the same to be true and <br /> v of laws and ordinances governing this type of work will be completed PERMIT# <br /> =r=aIdstherein ry not The granting of permit does not presume to give authority to <br /> ons of any other state or brat a <br /> violate or cancel the provisions at law regulating const iction or the <br /> performance of construction. That I am authorized by the owner of this property to perform the E <br /> vrork for which application is made and i comply with the State contractors Law IS 27 RCW and <br /> 296C.' <br /> gnat Date <br />