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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 8200 CEDAR STREET,`EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425.257-8857 --www,everefta.org <br /> 726 G WDE8 ` "EA T WA-q8201 <br /> PROJECT ADDRESS <br /> Owner Mall Address City Statetzip Phone <br /> Tenant _ Mall Address City ' Slate0p Phone <br /> L4 25-7*-811-9 <br /> GT1V 1G��1�►� , 5 Za s�" 6W L-{toN W—Wb <br /> Electrical Contractor Mall Address City Stateop Phone <br /> PCTIVE ` ks 026 ZT& <br /> State License Number(reggUIred) City of Everett Business License Number(required) <br /> ARA9,.-TMjEjkjT gEMMEL 432-S .00 <br /> Proposed Use of Building Contract Price of Work <br /> A4T' a WACI W1AJ '42-5-Z18- 171-Y4 <br /> Square Footage(If residential new conattvction, remodel or addillon) Contact Person/Contact NumberfEmail� <br /> A <br /> Number o dev}cea(If low voltage) <br /> Description of Work to Be Done: �+ZI"�V V G 3tAt,?��.�t"� �t STj/�tx 1-16i i FIX <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I herebyrcertify that I have read and examined this application and krtow,the some to be true and - <br /> correct All provisions of laws and ordinances governing this type of work will be completed -----_.__ <br /> whether specitred herein or not. The granting of a permit does riot presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state orlocallatiymgulatingconstruction or the <br /> i performance of constructlon. That 1 am authorized by the owner of this property to perform the 4� <br /> worts for which application Is made and 1 comply with the State Contractors Law 18,27 RGW and _ <br /> 296.200 WAC, <br /> nature Hata <br /> REVISED 0$M20 f A <br />