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716 Linden St. <br />- � - - ------� - <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SEF2VICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.evereriwa.org <br />PROJECT ADDRESS <br />3_�_��, <br />� l � � 3-631 <br />� Everett Housing Authority 3107 Colby Ave Everett '�A, 98201 425-303-1121 <br />� <br />I Owner Lta�l Adaress Ciry Slale/Lp Phone <br />Tenant <br />Mail Addmss <br />West Coast Eiectrical 5ervices 12527 Mukiiteo <br />Electncal Contractor tdaii Adtlress <br />WESTCCE897PQ <br />i <br />i State License Number (reqcired) <br />I Recreational <br />, Proposed Use of �wlding <br />��N <br />State2lp <br />PhonC <br />iway #103 Lynnwood WA 98087 425-322-3189 <br />�iry S�atc7Lp Phone <br />053544 <br />Ciry af Everett �usmess License Number (reqwretl) <br />$850.00 <br />Coniract Pnce ol Work <br />1 Zp Kyle Adams 425-322-3189 <br />SGuare Footage (It residential new construction, remode' or adG�t�on) Cc�tact PersoniCoNact Nurt�h�NEmail <br />N�mber of dev�ces (If low voltage) <br />Descripbon of Work lo Be Done� Add 3 OUII@lS, 1 1,ea[er, 2 dedicated 120 v circuits <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ce�tdy that 1 have read and exam�ned fhis applicahon and r�now the same tu be (�ue and <br />cnrrect All provisions o/laws and ordmances govern�ng fNs type oi work wil! be tompleted <br />ivhother specdied herein or not The granfing ol a permd does not presume fo grve au(honty fo <br />v�olafe or cancel the p�ovisions o� any ofher stafe or local law regulahng construction or the <br />performance ol constructwn. That 1 am aulhunzed by fhe owner of thrs p�operty ro per�o�m the <br />•,vork lor which ap hcabon is made and 1 comply �wth the State Conlracfors La�v 7827 RCW ^nd <br />29��AE <br />� <br />� 3���/ s <br />'�n�:,«�oa_._�,: — <br />FEE —_—� <br />�dOQ <br />i <br />PERMIT# <br />E ��0 3 -031 <br />