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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 /> Zn1"id44Zn <br /> PROJECT ADDRESS <br /> �-23 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City �� State/Zip nn Phone <br /> Y-it✓.E <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> / WOO 7 <br /> Square Footage(If residential new construction, remodel or addition) <br /> Numb r of devices (If low voltage) <br /> Description of Work to Be Done: Ale-eyj <br /> c <br /> Par TL-= service <br /> yia*0k5 FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 7 <br /> /hereby certify that/have read and examined this application and know the same 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 , „ r <br /> performance of construction. That I am authorized by the owner of this property to perform the U`f 1306 - 1 <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WA . <br /> ture Date <br /> -5 <br /> REVISED 3/20/13 <br />