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ELIECTRICAL PERMIT APPLICA�ION <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 />�S ��,�.,Sk S k , <br />PROJECT ADDRESS <br />a —�� —�$ <br />L lsoa�)3 � <br />Everett Housing Authority 3107 Colby Ave Everett WA, 98201 425-303-1121 <br />OwrB� Mail Address Ciry SIa1eIZip Phone <br />Tenant <br />�dad Adtlress <br />C�ry <br />State/Zip <br />Phone <br />West Coast Electrical Services '12527 Mukilteo Speedway #103 Lynnwood, WA 98087 425-322-3189 <br />Electncai Contractor Mail Address <br />WESTCCE897PQ <br />State L�cense Number (reqwred) <br />Residential <br />Proposed Use of Building <br />Ciry <br />S�ale/Zip <br />Phone <br />C�S3 Sy� <br />Ciry of Everett Business License Number (required) <br />5,800.00 <br />Contract Pnce of Work <br />950 kyleadams@wcelectrirs.com <br />Square Footage Qf residenbal new construdlon, remodel or adtlition) Coniact PersoNContact NumteifFinail <br />Number of devices (I( low voilage) <br />Description of Work to Be Done Residential remodel, new circuits, outlets, switches and lighting <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3�05 <br />1 hereby certily thaf f have iead and examined fhis applicahon and know the same (o Ge true and <br />r.orrect. All provisions o/ la�vs and o�dinances goveming fhis type o/ work will be comple(ed <br />�vhelher specified herein or noL The granhng o/ a permd does nof piesume to give autho�ity to <br />violafe or cancel (he p�ovisions ol any other stafe or local law regulahng conslrucfion or (he <br />perlormance ol construc�ion. Thaf 1 am aufhonzed by the ovmer o/ fhis property fo pedorm (he <br />woM lor which application is made and I comply with the State Contraclors Law 78.27 RCW and <br />296 200 WA ,� �� <br />� �//�%c---- Z�/��i� <br />�._ __.. __ nai� <br />kEVi5ED08DN101a <br />FEE <br />_�� QO <br />PERMif# <br />E I�OZ' 13► <br />