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04/27/2015 20 : 24 #6628 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.everetfwa.org <br /> ly� o <br /> PROJECT ADDRESS <br /> 77/(TA4P[-u7-(c <br /> Owner Mail Address city State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> Z--'* .orAr fe get, � zr z14�1 <br /> Electrical Contractor Mail Address city State/Zip Phone <br /> State License Number(required) City of Everett Business License Number(required) <br /> jl� U <br /> _ , <br /> Proposed Use of Building Contract Price of Work <br /> Square Footage(1f 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= <br /> FSE <br /> CITY Or EVERETT LOCAL SALES TAX CODE IS 3106 S—? <br /> l hereby certify that l have read and examined this application and know the some 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 construction. That I am authorized by the owner of this property to perform the , <br /> work for which a lication is made and J comply with the State Contractors Law 98,27 RCW and f l J <br /> 2961PE1W'S:E'0) <br /> 200 W <br /> e Date <br />