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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 — wvnv.evereltwa.org <br />Z I I R IAIAJA I d 4f <br />PROJECT ADDRESS <br />-7-II -N <br />C /yo7- osl <br />Tenant Mail Address Uy SI31cIzlp rncne <br />Electrical Contractor ail Address y talelLp Pnone O( <br />ljNNptj gt5za6 <br />Sta a License Number <br />All Lt<J <br />Proposed Use of Building <br />8(0 <br />Square Footage (if rPsidential new construction, remodel or addition) <br />Number of devices (II low voltage) <br />Description of Work to Be Dane: <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />-7� -- <br />Contract Pice of Wotk <br />Contact Person (Plan Review) <br />1 hereby certify that I have read and examined this application and know the same to be true and <br />correct. All provisions et 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 authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />pelformance rfconstruction. That 1 am authorized by the owner of this property to perform the <br />work for which application is made and/ comply with the State Contractors Law 18.27 RCW and <br />290.200 WAG <br />FEE <br />75 pO <br />PERMIT" <br />E 1407-0g1 <br />5- <br />13 <br />)3 <br />GI,.A.'- <br />alure <br />