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ELECTRIC/�,L PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8$YO - FAX425-257-8857—www.everettwa.org <br />�� L�,.�e� S� <br />PROJECT ADDRESS <br />Everett Housing Authority 3107 Colby Ave Everett <br />Owner <br />Tenant <br />Mail �ddress <br />Ma�l �tltlress <br />Ciry <br />ary <br />WA 98206 <br />Slale2p <br />Slale/Zip <br />3 _�s-15 <br />E � sca-i83 <br />425-303-1121 <br />Phone <br />Phonc <br />West Coast Electrical Services 12527 Mukilteo Spee�way #103 Lynnwood WA 98087 425322-3189 <br />EICClnC21 Contractor Mad Address City SlalelZip Phone <br />WESTCCE897PQ <br />State Llcense Number (requ�red) <br />Duplex residential <br />>roposed Use of Bwlding <br />1150 <br />Square footage pf residenlial new construclion, remotlel or adtliuor) <br />Number ot devices (If low voltage) <br />Descrip�ion of Work ta Be Done Remodel of existing duplex <br />CITY OF EVEReTT LOCAL SALES TAX CODE IS 3105 <br />053544 <br />C�ry of Everetl Business License Number (reqwred) <br />$5,600 <br />Contract Price of Work <br />Kyle Adams 425-322-3189 <br />Contact PersonlContact NumberlEma�l <br />1 hr,reby ceRdy fhat I have �ead anU exarnrned (his app6caGon and know Ihe sarne fo be frue and <br />conecf All provisrons o/ laws and orUinances govermng lhis type o/ work wdl he complefed <br />whelhcr specdied herem or nof The granfmy oI a pemut does not presume to give authonty to <br />violale or cancel fhe provisions o/ any ofher sfale or local law �r,gulahng r.onshur.tion or fhe <br />peAormance o/ consfruchon Thaf I �m aufhonzed by Ihe owner ol fhis properly fo peAorm !he <br />work lor wh�r,h applrcafion is matle and I comply wdh Ihe Stale Confracfors Law 18 27 RCW and <br />296 200 WAC. <br />%�,Gc /j��l�.�- Z fz �� � �� <br />,_<<.,,�ooa.,�,� �„� <br />FEE <br />g� �� <br />PERMITtt <br />E15o2- 183 <br />