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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREE i . EVERETT, WA 98201 <br />425-257.8810 - FAX 425-257-8857 — www.everettwa.org <br />G �yi2 _Nb <br />I � 1`� 1 �� �1• S`�Qe-� S�, �Wu\ t u� <br />PROJECT ADDRESS <br />Owner <br />SSlelgke T <br />Mail Address City <br />15 rs 0*t 51 ai 5�, # <br />Tenant Mail Address Q ll Z City <br />yEcttricall <br />2 tr� e Contra, r Mao Address r city <br />(Sr&f-)SeL syR� <br />State License Number (required) <br />Proposed Use of Building <br />Square Footage llJ residential new construction. remodel or addition) <br />Number of devices (If low voltage)V, <br />Description of Work to Be Done' <br />Au% -&%I � S <br />Staietz p <br />0A <br />—+�YSllatelbipp <br />�. State/Zip <br />Phone <br />Phone <br />0&-3 '7 <br />City of Everett3 sinesiaLicense Number (required) <br />114 ovv — <br />Contract Price of Work <br />Contact Person/Contact Number/Email <br />e 41� � FlW11Cea I uf`t 1tn <br />S 4brZ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have road 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 herein or not. The granting of a permit does not presume to give authonly 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 to perform the <br />work for which applicalicn is made and I comply with the State Contractors Law 18 27 RCW and <br />E n Ntj � "A-4- <br />FEE <br />1 V a'So <br />PERMIT# <br />E 14(Z I(le <br />REWSE0e41e11,W14 - <br />