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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.org <br />PROJECTADDRESS <br />-1�� - <br />Owner Vat Address <br />Mail Address <br />City <br />City <br />StalelZip <br />Slate/Zip <br />Phone <br />Phone <br />/% h9/dwi ( be- . <br />Electrical Contractor Mail Address City SlatelZip Phone <br />41AA .lrtio) tfF <br />Stale License Number (required) <br />& y uS <br />Proposed Use of Building <br />iZ.�Ob <br />Square Footage (If residential new construction, remodel or addition) <br />Numb .r of devices (If low voltage) <br />DS 3328 <br />City of Everett Business License Number (required) <br />Contract Price of Work Y Z'S•prf 2Z � <br />Jn � _ Yi(11 7 till,A 12 >Ti�. <br />Contact Person/Contact Numberr//7Email <br />Desrriplion of Work to Be Done: rg'JY � �/ / 1-h07/ie'L _Ce jrw <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby cedily Ihdl I have read and examined this application and know the same to be true and <br />cormcf. 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 slate orlocal law regulating construction or the <br />pe,formance o/ construction. That I am authorized by the owner of this property to perform the <br />work for iy*Jch application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />FEE <br />rCs�- <br />PERMIT# <br />E -W0 Z <br />Rewseoowvwu <br />