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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA g8201 <br />425-257-6810 - FAX 425-257-8857 - www everettwa org Z <br />4-144- S 3ral <br />PROJECT ADDRESS <br />SA r� S� �ga� ctr�T2 6� o <br />MailAddress nnone <br />Omer city S60tir.,A <br />I�QObs <br />Phone <br />Te�nnaaann�tt Mait Address City Slate/Zip <br />Electrical Contractor Mad Address City Staleti Ph s <br />State License Number Contract Price of Work <br />SING t,,'=, - F I L V 40LkSF <br />Proposed Use of Building "-rson (Plan Review) _. <br />900 <br />Square Footage (If residential new construction, remodel or/addition' <br />Number of devices (If iow voltage) <br />Description of Wilk to Be Done <br />1rina <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a permit does not presume to give aulhonty to PERMrT# <br />violate or cancel the provisions of any other state or local law regulating constuchon or the <br />performance of construction. That I am authorized by the owner of this property to perform the W1 <br />work for which application is made and I comply with tbo State Contractors Law 10.27 RCW and <br />296 200 NX. 11— <br />— I S-- <br />REVISED 3? 13 11 .Sri ra Sly, Ufa S- 7 y9-` <br />f — <br />s <br />� r <br />