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08/1512014 11: 21 2067821303 OLSON ENERGY SERVICE PAGE 01101 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 08201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwal.org <br /> PROJECT ADDRESS <br /> Owner Mail Address Clty Statel7ip Phone <br /> Tenant Mall Address City statelzip Prone <br /> ZZotO <br /> towV+r g D W,2-55z2 <br /> Electrical Contract Mail Addres,U V city 5tatelzip Phone <br /> q:b2q0 <br /> State license Number(required) City of Everett Business Lloense Number(required) <br /> Proposed Use of Building Contract Price of Work <br /> w �oM25- - y <br /> Square Footage (If residential new construction, remodel or addition) Contact Pa nicontact Number/Email <br /> 1z <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: Z New 20Otmo G1Y ( is Por 2 bco—/ rgi2—� <br /> i C S VV It �1p <br /> 2 C�Fc� 12. a E <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3905 <br /> f hereby certify that/have read and examined this application and know the same to be true and <br /> correct. All provisions of taws 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 l am authorized by the owner of this property to perform the E14 u 9 — O C <br /> work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and l ,J <br /> 296.200 WAC. <br /> PiAAA / <br /> l� <br /> Sign tui Date <br /> REVISED 0&082074 <br />