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�—_ <br />ELECTRICAL PERMiT APPLICATIC�iV <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STRFET, EVERETT, WA 98201 <br />425-257-8&10 - FAX 425-257-8857 — www.everettwa.org <br />�\3 L,n�n S�. <br />PRUJECT ADDRESS <br />Everett Housing Authority 3107 Colby Ave <br />O�mer Mail Address <br />Tenant <br />Mad Aadress <br />Everett <br />C�ry <br />c�ry <br />3_ s—is <br />� �So?_� g6 <br />WA 98206 <br />Slatc�Zip <br />StatelLip <br />425-303-1121 <br />Phone <br />Phone <br />West Coas! Electrical Services 12527 Mukilteo Speedway #103 Lynnwood WA 98�87 425-322-3189 <br />il <br />Eiech�cal Ccniractor M11aii �dtlress Gry SlalelZip Phone <br />WESTCCE897PQ <br />Stale License Number (required) <br />Duplex residential <br />Proposed Use o1 Building <br />1150 <br />Square Footage (If residen�ial new construction, remodel or addition` <br />Number of dewces pf low voltage) <br />Descriplion ol Work to Be Dane Remodel of existing duplex <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />053544 <br />Ciry nf Everetl Business License Number (requved) <br />$s,soo <br />ConUact Price o( Work <br />Kyle .4dams 425-322-3189 <br />Contact PersonlContact NumbedEma�l <br />I hereby certity that 1 have read and ezamined fhis applicaGon and knov� tbe same lo be true and <br />r.onect. All provisrons o/ laws and o�dinances govern�ng this type o/ work wdl Ge compleled <br />v:hefher speci(ed herem or not. The granUng of a permd does not presume to give authonty (o <br />violate or canr.el the provisions o/ any other sfale or local law regula(mg consf�uctron or the <br />perfoimance ol consfrutGon Tha( I am authonzed by Ihe owner ol Ihis property to perlorm the <br />u�ork lor �vhich applicafion is made ami I comply wdh Ihe Stafe Confractors Law 18 27 RCW and <br />?96 200 WAC. <br />��"- <br />�r�i;�nca�s�o�: <br />FEE <br />g�p0 <br />PERMITJ! <br />E ISOZ�(g(� <br />