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0 • <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 /> (otS 60-T- 5rAj <br /> PROJECT ADDRESS <br /> Ajeodki-i zl(o M" <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> 6 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> State License Number Contract Price of Work <br /> Proposen Use of Building Contact Person (Plan Review) <br /> 1#160 Sr- <br /> Square Footage (If residential new construction, remodel or addition) <br /> Number of devices (If low voltage) <br /> Description of Work to Be Done: Vqlopr— ey-ces"h��i '�il �' bae- Gi�1(,e%�eG'f,�fG6� pod <br /> 7 <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I 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 ` f , ©� I <br /> performance of construction. That i am authorized by the owner of this property to perform the I `"r <br /> work for which application is made and/comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WA000 <br /> , <br /> r <br /> ature Date <br />