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-- <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.org <br />PROJECT ADDRESS <br />Owner Mail Address City <br />State0p "hone <br />/V6n+eCrillb &II= rn 150-1 WAIL S+ E Verx:- " WQ <br />98201 <br />Tenant Mail Address City <br />State/Zip Phone <br />14R Elegy+r;( T�� loos NE 1854hSF 9herrlir+� (t7o. <br />98155 �b-�49-52 <br />Electrical Contractor Mail Address City <br />Statelzrp Phone <br />--FA F- L- F-1 -'� 137 Lan : <br />� -*M <br />State License Number1 Contract Price of Work <br />t" .nryl2f�U'a! gsi'onase Ti»eiil�r Fr of <br />Proposed Use of Building Contact Person (Plan Review) <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />Description of Work to Be Done: EIec4r-i C4j eeVV G t.%mo At? 12-G <br />or»p nr J <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />FEE <br />I lQ V <br />1 hereby certify that 1 have road 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 />PERMIT# <br />violate orcencel the provisions of any other state orlocal law regulating construction or the <br />this to the <br />+� <br />E 2 �� <br />performance o/ construction. That I am authorized by the owner of property perform <br />✓ <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC.- <br />-- — 1-jam- coop <br />— <br />Si azure Date <br />aeva:n vzrura <br />