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DC Electric Inc. • <br />4256700817 p.1 <br />• <br />ELECTRICAL PERM�T APPLICATION <br />CiTY �F EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-$$'! 0- FAX 425-257-8857 — www.everetfwa.go� <br />���� ����� <br />PROJECT ADbRESS <br />�I�.T�S��. <br />Owner <br />Tenant <br />`� <br />Mail Address <br />City <br />Mail Address City <br />� 2 i�� 7r.� R-�D �. n�. V <br />Electrical Contractor Mail Address <br />� C�ti��.a- �1 Z� �� <br />State License Number (required) <br />��� ��t�,�J <br />Praposed Use of Building � <br />t�-� <br />Square Footage (If residential new construction, remodel or addition) <br />�— <br />Number of devices (if low voltage) <br />Ciry <br />• .. <br />State/Zip <br />State/Zip <br />Phone <br />Phone <br />�� _ <br />�l�"US'C�{ <br />Phone <br />�' i'� C-t��SSi !�l�r <br />Ciry of Everett Business License Number (required) <br />� �� �" <br />Contract Price of Work <br />�� �9�o-rn'�-�i <br />Contact Person/Contact Number/Email <br />��i-�O �� �{ S.tJ . C..�`i� <br />Description of Work to 6e Done: �{�j u,�'j "Q�1 @� ��L����� �i`�,j <br />��� _'� � �� <br />CITY OF EYERETT l.00AL SALES TAJC CODE 1S 39 05 <br />I hereby certify that I have read and examined fhrs appFication and know the same to be true and <br />correct. Al! provrsions of /aws and ordinances governing this typs of work wfJl be completed <br />whether specrFred I�erein o� not. The granting of a permit does not presume to give authonty to <br />violate or cance! the provisrons of any other state or local law regulating construc[ion or the <br />performance of construction. That 1 am authorized by the owner of this property to perform the <br />wor�s.f�which app/rcafion is rrrade and 1 camp(y with fhe State Confrac€ors Law 98.27 RCW and <br />�'-Z? -- l �� <br />rtEvrsso oans�zo�a <br />FE� <br />� �(�, �° <br />PEf2M iT# <br />E I � b�l - I�l � <br />�pG� �_ I <br />