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� <br />E�ECTRICAL PERMIT APPLICATION <br />CIiY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www everettwa.org <br />;-� O L.00u��-� 5�[ , <br />PROJECTADDRESS <br />Owner <br />7enant <br />Electrical Con�recror <br />:-:� Q �. 3�,� i��l- <br />R�ail Address <br />t�taii Aodress <br />�( �33 ��+� S� <br />� �dail Atldress <br />��«���P� <br />State License Number (requlred) <br />Proposed Use <br />Square Foolage Qf res:dent�al ne��i construction, remodel or addition) <br />Number o( devices (If low vollage) <br />Ciry <br />C�ly <br />C�ty <br />(� -22--iC( <br />E/�I /o -/�(I <br />[,,�#- 9��6 <br />StatelZip <br />State2lp <br />� �� <br />State/Zip <br />3- Il7 <br />Phone <br />Phone <br />���-�-8�a•3�Y� <br />Phone <br />-�to �5 3`�� <br />Cdy of Everett Business License Number (required) <br />�5�� GU <br />ContraclPrlceofW ���,E�.�LS•Cv�""� <br />�u" dG'Ut'^% ' `j L S ��V ��L'�� <br />Contact Person/Contact Number;Email <br />�` <br />Description of Work Io Be Done� � 'tc� � � � /�" ���?" -- <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily Ihat ! have read and examined Ihis applica(ion and i<no�v the same fo be true and <br />conect. All provisions olla�vs and ordinances governing this type o/ �vo�la �t�ill be complefed <br />�vhethcr speci/icd herein or not The gran6ng ol a pemiit does no( presume fo give aulhority fo <br />vlolafe or cancel the provisions oI any ofher s(ate orlocal law regidafing constn�cfion or the <br />peAonnance o/ construction. Thaf 1 am authonzed by the ou�nei o/ fhis propeRy fo per/onn the <br />work (or which application is made y�d 1 comply with the Stafe Contraclors Law i827 RCW and <br />296.200}Ni1C � � <br />� <br />REVISED 06i0u4o I a <br />FE[ <br />� � a� <br />PER M [T« <br />E i�flr�- 1�( <br />