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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 />�SC�p � / s' ,�i <br />PROJECT ADDRESS <br />i <br />l' ��v��� i t�!�� Lr;>w��,,.,� rv �c;�� z � u r�� � �G' d3;; x((7D. � �; U�,.� vi � �►.� d'r `� �` =��, U 1 <br />Owner Mail Address City State/Zip Phone <br />r2a�ur�;2 ���u�«w�,���tT����.�, <br />Tenant Mail Address City State/Zip Phone <br />�Y�►� L�l.EL Tr�� ..3kC�1 i� i� �;,��-a �L I��� E��: �¢,: tr i�✓!►- C S� �t: f `�? T�? S`�2 -171�v <br />Electrical Contractor Mail Address City State/Zip Phone I <br />�►�►��iEi �1�Lt�D <br />State License Number (required) <br />Proposed Use of Building <br />V J G � aL —1 <br />City of Everett Business License Number (required) <br />v� .���`��.. <br />Contract Price of Work <br />i�a�h[ ST�U�hIS 31�U `�. �S+ 1-Iig[ 1 <br />�iS�tVG��@d�.�.) ylec�rlL-t�;� <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: //VS f V� �-t. l� �; �:;� v'' F�t Cc, t� i�L�.-� (JL'a�✓ /-I F: (,l J <br />� <br />v'�J i�'!' TC✓:_'_ /A( L�c� /� E z_�.; f£ /l.i.�'=.. �'C� t�'�l <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have read and examined this application and know the same to be true and <br />correcf. All provisions of (aws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a permit does nof presume to give authority to <br />violate or cancel the provisions of any other sfate or local law regulating consfruction or the <br />performance of construction. That l am authorized by the owner of this property to perform the <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />296.200 W <br />l ,��� . ���1� <br />� � <br />REVISED 08/O6/2014 <br />FE� <br />����� <br />PERMIT# <br />E �5�(�- bZ� <br />