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425-252-1666 CM HEATING 10:59:31 a.m. 06-25-2015 3/3 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT -SERVICES <br /> 3200 CEDAR STREETi EVERETT,INA 98201 <br /> 425-257-8810 - FAX 425-257-8857---www.everettwa.org <br /> L605 flu-- ii/e Ev <br /> PROJECT AOORESS <br /> bU 0QVAh"- abOYle,, 425 z5y Jgw <br /> Owner j Mail Address City Stale/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> CM l�ea-F i�c l nc. I!�1 F3 au WPB 98I01 426 21b9 <br /> Electrical Contractor Mail Address City StatelZlp Phone <br /> C AAEAHA 77t>Q of (D04g <br /> State Ucense Number(required) City of Everett Business License Number(required) <br /> Proposed Use of Building Contract Price of Work <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(If low Voltage) <br /> Description of Work to Be Done: <br /> Li <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �'^ `00 <br /> U <br /> I hereby certify that/have read and examined this Bpi licatfan and know the same to be true and <br /> correct. All previsions of laws and ordinances governing this type of work will be completed <br /> whetherspeclFed herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate"or cancel the provisions ofany other state orloc6ll1wragula&79 constriction orthe <br /> performance of construction. That l am authorized by the owner of this property to perform the E <br /> work for which application is made and I comply with the State Contractors Law 18.27 Rd Wand <br /> 296.200-WAC ` <br /> 5lgriature •��,1 <br /> Date <br /> REVISED OWWD14 <br />