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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 />� � �-/� <br />e,s a?_i�7 <br />�3 L x:,�S�- s i <br />PROJECT ADDRESS <br />Everett Housing Authority 3107 Colby Ave Everett <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />Ciry <br />C�ry <br />WA 98206 <br />SlatelZip <br />StatelLp <br />425-303-1121 <br />Phone <br />Phone <br />West Coast Electrical Services 12527 Mukilteo Speedway #103 Lynnwood WA 98087 425-322-3189 <br />Electrical Con�ractor Mail Address C�ry Stale2ip Phone <br />WESTCCE897P(1 <br />State Llcense Number (required) <br />Duplex residential <br />Proposed Use of Building <br />1150 <br />Square Footage pF residentlal new construdion, remodel or addition) <br />Number of devices (II low vollage) <br />oescriplion or work co ee oone. Remodel of existing duplex <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />053544 <br />City of Everett Business License Number (required) <br />$5,6U0 <br />Contraci Price of Work <br />Kyle Adams 425-322-3189 <br />Contact Person/Contact NumbedEmall <br />I hereby certity Ihat 1 have read and examined fhis applicafion anU know the same lo be Vue and <br />cnriect All provisions ol laws and ordmances goveming this type ol �vork wdl he complefed <br />whe.fher specified hermn or nof The grantiny ol a permd does nof presume to give aufhonty to <br />wolale or cancel the provrsions o/ any other stale or lor.al law regulating construclion or fhe <br />perlormance oI consfrucfion. Thaf I am aufhonzed Gy (he owner ol fhis property lo peAorm Ihe <br />work lor whrch applicafion is made and I compty with Ihe Sfate Contracfors Law 78.27 RCW and <br />296 200 WAC. <br />�G%� ff�� z/ z� I �� <br />rrewseooarornoia <br />FEE <br />�0 °�� <br />PERMIT# <br />E (SD�- (g7 <br />