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#30 09:18:09 a.m. 04-30-2014 1 /1 <br /> NEW <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 /> 6UZA <br /> Owner Mall Address City State/Zip Phone <br /> s1PIe /u 4W,t>a <br /> Tenant Mall Address City State/Zip Phone <br /> ?117 61M <br /> Electrical Contractor Mall Address City State/Zlp Phone <br /> to/�G�� 1 i_ /e/ / <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> ZSqua -'�Eoo �� - ,?/(? -12- <br /> Square <br /> re Footage (If residential new construction, remodel or addition) <br /> Number of devices (If low voltage) <br /> Description of Work to Be Done: -i) 1102-ZY�1712AC C J/ / / Z <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE 1S 3105 <br /> 1 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 `� f <br /> performance of construction. That I am authorized by the owner of this property to perform the U 1 T <br /> work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> Signature Date <br /> REVISED 3120113 <br />