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ELECTRIC�►L PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.o� /s� a_� �!%(/ <br />3-5�—��/ <br />�r6 L��;�sti sk . <br />PROJECT ADDRESS <br />Everett Housing Authority 3107 Ca <br />Owner Mail Address <br />Tenant <br />Mail Address <br />Ave Everett <br />c�ry <br />C�ry <br />WA 98206 425-303-1121 <br />Stale�Zip <br />StatelZip <br />Phone <br />Phone <br />West Coast Electrical Services 12527 Mukilteo Speedway #103 Lynnwood WA 98087 425-322-3189 <br />Electfical Con�rattor Mail Address Ciry SlalelZip Phone <br />WESTCCE897PQ <br />Slate License Number (required) <br />Duplex residential <br />Proposed Use of Buildinq <br />1150 <br />Square Footage (If residential new construc6on, remodel or adtlition) <br />Number of devices (If low voltage) <br />Descrip�ion ot work to ee oone Remodel of existing duplex <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />053544 <br />City of Everett Business License Number (required) <br />$5,600 <br />Contract Pnce ot Work <br />Kyle Adams 425-322-3189 <br />Contact Person/Contact NumbedEmail <br />1 hereby certily fhaf 1 have read and examined fhis application and know the same to be hue and <br />correcL All provisions ollaws and o�dinances governing this type ol work will De complefed <br />whether specified herein or not. 7he granting ol a permit does not presume to give authonty to <br />violate or cancel the provisions ol any o(her slafe or local law regulating cons(ruclion or the <br />peAormance o( construction. That I am authonzed by fhe owner oI fhis propeRy to peAorm fhe <br />woilc /or which application is made and f comply with fhe State Contracfors Law 1827 RCW and <br />296 200 W �. <br />,��:� ��� Z /� s( � � _ <br />REVISEDoe�oYlOta <br />FEE <br />�� o0 <br />�ERMfTk <br />E c�oZ -r�o <br />