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ELECTRlCAL PERMIT �+►PPLICATION <br />�r <br />����� <br />., .,,. <br />Owner <br />C17Y OF EVERETT PERMET SERVICES <br />3200 CEUAR STREET, EVERETT, WA 96201 <br />425-257-8810 - FAX 425-257-8857 -• wv✓w.everettwa.org <br />Mail Atldress <br />Ci1y <br />Slate/Zip <br />s_a3-�3 <br />C i3oS-�33 <br />Phone <br />Eleclrical <br />State License Number <br />�G�W �\ <br />Proposed Use uf Buildin <br />l-��,�� F I�� <br />Mail Address <br />Square Footage (If residential new construclion, remodel or addition) <br />Number of devices (I( low voltage) <br />Descriplion of Work to Be Done: <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />City State/Zip �S��hQn� <br />,� <br />�> ��ao�� <br />Coniract Price of Work <br />Contacl Person (Plan Review) <br />I hereby certi/y thal 1 have read and examined fhis application and know (he same to be troe and <br />correct All provisions of laws and ordinances goveming fhis type o/ work �vill be completed <br />whether speci�ed herein o�noL The granting of a permif does not presume fo give authonty to <br />violafe orcancel (he p�ovisions o/any other state orlocal law regulafing consfruction or fhe <br />perfomiance oI consWction. That I am authonzed by the owner oRhis propeAy to pedorm (he <br />work fo� which application is m d 1 comply wi(h the Slate Contractors Law 18.27 RCW and <br />236.200 WAC. <br />aevise� vrau <br />FEE <br />��- Sv <br />PERMIT# <br />E � 305 - 133 <br />