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Aug 18 15 09:53a Boyer Electric Co <br />• <br />2063674575 p.2 <br />• <br />ELECTRICAL PEi�M1T APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425--257-88�7 —www.e�erettwa.gov <br />�--��- L '�'�.�-� ���- <br />PRO.iECT ADDRESS <br />� �s.� �� � � � ��i � �' �'� �lC,�� cl�'� 1 (�-�5� Z �-�3��, <br />OwneT Mail Address � Cify � StatelZip phone <br />��Y ' `Q� <br />Tenant Mail Address City StatelZip Phone <br />� � t���4�[ � ``� <br />�lectr�c� ntractpr Mail Address <br />� <br />� � ������ � �� <br />State License fVumber (required) <br />�roposed Use of 8uilding <br />Square Footage (ff residential new construction, remodel or addition) <br />f,lumber of devices {If low voltage) <br />Oescrlption of Work to Be Done: --�-+ •��\ <br />City <br />� ���3 <br />StatelZip <br />� z2 ��,� <br />Phone <br />Ciry of EveretE Business License Number (required) <br />���� <br />Contract Price of Work <br />�Y '� 'f�`f � N-✓ <br />Contact Person/Contact Number/Email �.i,�� <br />, � � <br />_ �(lt'�.�.� �� ' �J�'C�.��l� � ' C�-� <br />CI7Y OF EVEREYT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that 1 have read and examined this applicatron and know 1he same to be t�ue arrd <br />correcf. All provisions otlaws and ordinances goveming this type of work will be completed <br />v�hether specified herein or not The granting ot a permit does not presume fo give authority to <br />violate or cancel fhe provisions of any otherstate orlacal !aw �egulaUng consiruction or ihe <br />performance of constn�ction. That I am aufhorized by the owner of this praperty to perform the <br />v✓ork for tivhich applrcafion is made and I comply with the State Confractors Law 18.27 RCW and <br />296.200 WAC. <br />, <br />�S �= V/SF� �B�Jfv�O, 4 <br />� <br />C����--� <br />FEE <br />�(�� �� <br />Y <br />PERMIT# <br />E i���-)2� <br />