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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 /> 7720 L/ M A <br /> PROJECT ADDRESS <br /> -114111 <br /> t1-51111(17/40/17- Z <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> State License Number(required) City of Everett Business License Number(required) <br /> Proposed Use cf Building Contract Price of Work <br /> ?X7 <br /> /�O/a0/✓�f 7GSQ, �r ,�nryi✓��!/�i :mC <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email I <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 [� /�O U <br /> I hereby certify that I have read and examined this application and know the same to be true and ✓ v <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 ( I _O <br /> performance of construction. That I am authorized by the owner of this property to perform the (_I[ I <br /> work for hick application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 �. <br /> Sig fu Date <br /> REVISED O& 2014 <br />