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ELECTRIC L PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT; WA 98201 <br />425-257-8810 - FAX 425-257-8857 — L✓ w t4) _e ✓e-K4:H w4 Jr.) V' <br />eh.r1i ('• GVcmre+-fePS Cad 2veAzt4 We.-. if <br />PROJECT ADDRESS <br />EHvI Po <br />Ovrner Mall Address City Stateop Phone <br />GIw1N1,V'EW Arr5. <br />Tenant MallAddress I City Stale0p Phone <br />I�ci)v.LA f_ :EL,Z7 n2 G Fb iop <br />Electrical Contractor Mail Address <br />EZ <br />Vt 1=4`t.xlN9yin, `I V D e, S <br />Proposed U;e of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />Description of Work to Be Done: <br />tl <br />City <br />5AVirJ(. <br />State/Zip <br />ZZ-ieIZ <br />Phone <br />C,IA L I I <br />City of Everett Business License Number (required) <br />n 00 <br />Contract Price of Work <br />Contact Person/Contact Number/Email <br />I <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />thereby certify that I have read and examined this I pplication and know the same to be (rue and <br />correct. All provisions of laws and ordinances goveming this type of lvork will be completed <br />whether speci0ed herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provlslons of any other state or local law regulating construction or the <br />performance of construction. That/ am authorized by the owner of this property to perform the <br />work for which application is made and I comply with the State Contractors Low 16.27 RCW and <br />296.200 WAC. <br />1-4j, '/vd A- <br />REWSEDoavwoN -al C1— 7 <br />L i6HrS <br />FEE f, <br />KPER4444Miirr#J �1 <br />E 15(0-(0 <br />