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06102/2015 21:33 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-267-8857 - www.everettwa.org <br />�')-o 'T� fX/0 Aj <br />PROJECT ADDRESS <br />46811 P.0021002 <br />Y'V <br />;�o <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address City State/Zip (��pPhone <br />����,✓✓���'z <br />Electrical Contractor Mail Adldress City State/Zip Phone <br />ELL's <br />State License Number (required) City of Everett Business License Number (required) <br />Proposed Use of Building Contract Price of Work <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />Contact PersorilContact Number/Email <br />Description of Work to Be pone= <br />�P��� �J <br />CITY OF EVERETT LOCAs. SALES TAX CODE IS 3105 <br />i hereby certify that I 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 I am authorized by the owner of this property to perform the <br />work for whio application is made and t comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. / <br />0&0&7014 <br />FEE <br />'51-0 <br />PERMrr# <br />