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Boyer Electric Co 2063674575 p.1 <br /> 411 • <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 a `3.--15 <br /> 425-257-8810 - FAX 425-257-6857 -www.everettwa.org <br /> 4--a\c) _ C.Q.:M.--if\jyt.. <br /> PROJECT ADDRESS <br /> • <br /> i A •11. %I t AMA 0A 101- L At LAI A dbP` - ` f' <br /> Owner Mail Address N., City State/Zip Phone <br /> -n q <br /> Tenant Mail Address City State/Zip Phone <br /> Cf—4:0;(1 c._. }A 0 . 12 '"" &c ` � 2. ) <br /> k. <br /> Electri ,tractor Maii Address City ). State/Zip Phone <br /> State License Number(required) City of Fverett Business License Number(required) <br /> Proposed Use of Building Contract Price of Work <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> 1 <br /> Number of devices(If low voltage) ` � e—t <br /> Description of Work to Be Done: -�'"' — ��1 CCT ��-�� Cc <br /> it <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 Q OP <br /> I hereby certify that I have re d and examined this application and know the same to be true and <br /> correct. All provisions of law and ordinances governing this type of work will be completed i <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 /50,R <br /> �D _ 0 <br /> performance of construction. That I am authorized by the owner of this property to perform the <br /> work for which application is made and I comply with the State Contractors Lew 18.27 RCW and <br /> 296.200 r'C. <br /> mil illi`1A - 'AI 1 — s- ¶ <br /> 'Si.nature Date <br /> / <br /> REVISED 08/062074 <br />