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12-04-15;05:46AM; <br />P1 QrcSe- C6—I1 y-k247or .•.e,.� <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.everettwa.gov <br />3c).O Trenton f3 ,-c�P- <br />PROJECT ADDRESS <br />7 Gtr k V;k w' 175YLl ✓'�iG! r /e /��e /�- Sec /jl�e '77133 <br />Owner Mail Address City State/Zip Phone <br />Tenant <br />Mail Address <br />City <br />State/Zip <br />Phone <br />i, sf s 2,S 3 -6 6/-7 A3S6 10, <br />�- i-eclera.t'�a-�, w� %8�00? <br />Electrical Contractor Mail Address City State2ip Phone <br />FL, Il2eit7-;t,76k- <br />State License Number (required) <br />Nn ttis e <br />Proposed Use of Building <br />Square Foo age (If residential new construction, remodel or addition) <br />Number of devices (if low voltage) <br />n3311i <br />City of Everett Business License Number (required) <br />9o0 ov <br />Contract Price of Work <br />CJI -i rLJ/Q, A-0 6-`-/Z3 - W-3 5� y <br />� <br />Contact Person/Contact Number/Email <br />rt ® -�. U V-glVC, . cew-A <br />Description of Work to Be Done: e. Mocie� — �nS��+ J� 11 ew . 5s — /� eto Si+to,�e d��� c/;r <br />CITY OF EVERETT LOCAL SALES TAX CODE 1S 3105 <br />l hereby certify that l have read 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 authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That/ am authorized by the owner of this property to perform the <br />work for which application is made and l comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />2- y-1 S <br />REVISED 08/06'2014 <br />FEE <br />PERMIT# <br />