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Dec 0715 01:21 p Rob's Electric, Inc. 425-334-7056 p.1 <br /> • 0 <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 /> *6P <br /> I LIC. J cm <br /> Oviner Mail Address City State2ip Phone <br /> Tenant Mail Address City State2ip Phone <br /> L4 5 <br /> LL4W5 A25$ 3� <br /> Electrical Contractor Mail Address City State2ip o e <br /> State License Number(required) City of Everett Business License Number(-equired) <br /> Proposed Use of Building Contract Price of Work <br /> Mt Chip 1 I f-ohS�I�c rC r c <br /> Square Footage (If residential new construction, remodel or addition) Contact PersonfContact Number/Email <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: T`� <br /> ! FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 D QO <br /> I hereby certify that 1 have read and examined this application and know the same to be true and J <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 I PERMIT# <br /> violate or cancel the provisions of any other state or local few regulating construction or the J �' <br /> performance of construction. That 1 am authorized by the owner of this property to perform the ( t <br /> work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br /> 296.200 MVAC. <br /> Sig nature Date <br /> R=ws�oaosiroo a <br />