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ELECTRICAL PERMiT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />� �� ��, �a��� 5� <br />PROJECT ADDRESS <br />Everett Housing Authority 3107 Colby Ave Everett <br />Owner b�a�i address ary <br />Tenant <br />Mail Addmss <br />West Coast Electrical Services 12527 Mukilteo <br />Elettrical COnttaCtOr lda�l Address <br />WESTCCE897PQ <br />itate License Number (required) <br />Residential <br />Proposed Use of Builtlmg <br />C�ry <br />C�ry <br />a.-1q—�S <br />� �5t7a �13U <br />�NA, 98201 425-303-1121 <br />State/Zip Phone <br />StatelZip <br />Phonc <br />#103 Lynnwood, WA 98087 425-322-3189 <br />Slate2p <br />Phone <br />v ��3�Y�f <br />City of Everett usiness License Number (requved) <br />5, 800.00 <br />Contract Price ot Work <br />950 kyleadams@wcelectrics.com <br />Square Footage Qf resideMial new construction, remodel or addition) Contact PersonlContact NumbeuEmail <br />Number of devices Qf low vollage) <br />oescr�Pc�on or work co ee oone Residential remodel, new circuits, outlets, switches and lighting <br />CITY OF EVFRETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certity that I have read and exammed lh�s application and know (he same to be true and <br />conect. All provisions ol laws and ordinances goveming fhis rype of work will be complefed <br />v:hefher speci�ed herein o� not The g�an(ing oI a permd does not presume to give aufhonty to <br />violate or cancel fhe provisions o/ any ofher stafe or local law regula(ing cons(ruclion or lhe <br />peAormance ol construction. Thaf 1 am audionzed by the owner o( this property fo peAorm (he <br />work lor which apnlicafion is made and I comply wilh the State Contracfors Law 18 27 RCW and <br />296. ?00 WAC. <br />,�� ./��C---- Z/I � l�-� _ <br />FP'6ED C,°.�vG.1J <br />FEE � <br />^ S � <br />� <br />PERMIT# <br />ELSoZ- �3� <br />