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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.everetlwavrg <br />ISI5 112ib, Sf SF , Evet-eit LA 17167 <br />PROJECT ADDRESS <br />�eVA Jo `\p <br />Owner Mad Address City SlaterZip Phone <br />Mail Address <br />Electrical Contractor Mail Address <br />SVST CCK`ia"7 CE <br />Slate License Number (required) <br />Caiwer-�� � <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />Description of Work to Be Done. <br />CITY OF EVERETT LOCAL SALES TAX CODE 15 3105 <br />City State/Zip Phone <br />City statelZip Phone <br />o,pplied J ,l 3110115 <br />City of Everett BustrIess license Number (required) <br />� /, 0 vu .04 <br />Contract Phu of Work <br />Contact <br />I hereby certify that I have mad and examined this application and know the same to be true and <br />correct All provisions of laws and ordinances governing this type of work will be completed <br />whether specified heroin or not. The granting of a permit does not presume to give authority to <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, padarm Me <br />vmrk frr which application is made and I comply with the State Contractors Law i 27 RCW and <br />296200 WAC, <br />1114 <br />FEE <br />72 so <br />PERMIT# <br />E 1503 - (x1 <br />. 4'v1 <br />