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• • <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 /> t�rrPe-' <br /> PROJECT ADDRESS <br /> f&t = rr��e17-c%�ves`7m e� �v�re WA �/Z <br /> Owner Mail Address CityE� t��ig� �,- Phone <br /> Tenant Mail Address City State/Zip Phone <br /> :!�atMp "t 1'dvr-- <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> State License Number /- Contract Price of Work <br /> C�1-c-Ge -t- (�tJvc✓eyl�)o5 <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage(If residential new construction, remodel or addition) <br /> SOD <br /> Number of devices (If low voltage) <br /> Description of Work to Be Done: <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ✓ <br /> I hereby certify that l 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 1 <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> Signature at �— <br /> REVISED 3/20/13 <br />