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425-252-1666 c n• Prnvc� • <br />0 11: 18:50 12-01-2015 3/3 <br />ELECTRICAL PERMIT APPLICATION <br />C!- t' OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 <br />425.257-8810 - FAX 425.257-8857—vr:rri.everellwa.org <br />IECT ADDRESS <br />Gail Addraa GU Slal.rz,p Pnira <br />?.tall Address airy Stata2,p Phone <br />K 1 M� r <br />:al Conlraclor Mail Addrass City Snc?gyp Ph4n2 <br />;canm���g��bt� <br />Isa Number (required) <br />ad Use of Building <br />Footage (if residential na•,i construction, remodel or addition) <br />I <br />of devices (If low voltage) <br />9�- <br />City of Everett Business I icen3a Number (required) <br />C�y <br />contntr��act Price oofp6'! k <br />yz9,2rao <br />Contact Person/Conlacl flumber/Emad <br />Lion or Work to Do Done __-✓LQLL —Tsit� --- — <br />FEE ((,. <br />c EVERETT LOCAL SALES TAX CODE IS 3105 Q}i iLl <br />comity that I have mad and examined this erplicalion and know Ilia same to be true and J <br />All provisions of laws and ordinances goveming this type of work will be completed <br />•spaclfied haraln ornot. The granting of a permit does not presume IQ give authority fa, PERMITS <br />rrcancel the provisions of any other state arlocal low regulating construction or the` ' ' �l /��{ <br />ance of construction. That I am authorized by the owner oft Is property to perform the J I U(J I <br />which application Is made and I comply with the State Conti ictars Law 18, 27 RCW and <br />WAC. <br />a C12ali <br />