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low <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.everettwa.org <br /> PROJECT ADDRESS <br /> N4 1 <br /> Owner Mail Address City State/Zi Phone <br /> Tenant Mail Address City State/Zip Phone <br /> 1 l G <br /> LV <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> State License Number(required) City of Everett Business License Number(required) <br /> -'e'/.,/,— ,9 , //, <br /> Proposed Use of Buil'din4 Contract Price of Work <br /> quare Footage If resi en ial new construction, remodel or addition) Contact Pers n/Contact Numbr/Em il��� <br /> J /I <br /> Number of devices (If low voltage) <br /> Description of Work to Be Done: v <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> �D <br /> I hereby certify that I 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 <br /> performance of construction. That 1 am authorized by the owner of this property to perform the E 1 t;i <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> igna re D 6fe <br /> REVISED 08/06/2014 <br />