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ELECTRICAL PE�4MIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everetlwa.org <br />1a,�D0 �i Nt A`.��h(Lld �,(l. <br />PROJECT ADORESS <br />; lvA �,� `� �m� <br />O�hicr Matl Address Gty SIa1e/Lp Phono <br />Teninl <br />Mail Address <br />CAy <br />SlaleZp <br />Phone <br />EMERALD 111RE INC. 5108 D STREET NW �UBURN WA 98001 253-872•5665 <br />Elec�ncal Conirac�or Mail Aadiess Cdy Slale/Zip Phone <br />COViRACTCFS UCCNSF EIkCiRiUI UCENSF <br />EMERMI055BL EMERAAI991KG 26495 _ <br />State License Number (required) Gry of Everetl Business License Num6er (required) <br />(' rnrn�orc �a9 �G�� . Y� <br />Proposed Use ol Bwlding Contracl Pnce ol Work <br />Square Footage (II residenUal new conslrucUon, remodel or adddion) <br />Nurnber ol devices (II low vnitagr,) <br />Descripti^^ of Work to Hr, Done' <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />�i� C�c�/a�3_�-�a��� <br />Conlact PersonlContact Numbed[mad <br />1 haeby cortdy tha( I bave �cad and examined Ihis applicaf�on and knrnv fhe same fo bc fruc and <br />correc(. All provisions ollaws and ordinances governing f/us lype ol work will be completr.d <br />whether specrlir.A hermn or no( Thr, granfing ol a permd Aoes nof presume fo give aufhonty to <br />violafe oi canr,el fhe provismns ol any afhur sfafe or local l. w reyulafrng cons(ruction or fhe <br />perfoimance o/ consfrucfion. Thaf I am aulhonTed by fhn ownr.r o/this property fn perfo�m Ihe <br />work !or which/�+pp�1/�afion �s made anA I comply wdh (he Sfale Conhacfors Law iti.27 RGW arrd <br />29G.700 W�1C./jfJ <br />CRAMER <br />uewsco on*+rt�nr. <br />FEE <br />5 OvD <br />PERMIT# <br />E1�0�=°g`�- <br />ama nAac@emeraldarte. com <br />perm�ts(qlemeraldaire com <br />