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FROM :Dick Howard & Sons Elect* FAX NO. :4257765895 *Feb. 19 2016 10:47AM P2 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 - lCl `i,t, <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.gov <br /> • <br /> 330 Cso1b T71 4b I& " , t , 1 <br /> PROJECT ADDRESS <br /> Owner Mair•:dress City State/Zip Phone <br /> Tenant <br /> Mail Address City State/Zip Phone <br /> 10'k L t r s L • _ C • or? t 4 IlL. <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> t C k- sL l 32 VAA O 1 L-E Lap <br /> State License Number(required) City of Everett Business License Number(required) <br /> YL.1\-e.raA c-, Gc.ekAAc ov 3, SUCH <br /> Proposed Use of Building Contract Price of Work <br /> t Ve trl V\ire c- Ecle(bv-xUL <br /> Square Footage(If residential new construction, remodel or addition) Co tact Person/Contact Number/Email <br /> IA-Dej Cr) (-etceomo,,I L <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: P 6 a 1 t O1 s 4 j ��LCA a sch ft c±ri <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> \ -'1„.I hereby certify that/have read and examined this application and know tho same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will bo 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 <br /> performance of construction. That I am authorized by the owner of this property to perform the E L sp 62--1 Z- <br /> work for which application is made and!comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> di <br /> 01 <br /> Ignatu': Date <br /> i <br /> REVISED O untv2o14 <br />