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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 />C 13D8"p� � <br />PRrOJECT ADDRESS <br />Owner Mail Address City StatelZip Phone <br />Tenant Mail Address Ci1v Staten/Ziip�.. <br />p�� Phone <br />Electrical Contractor Mail Address City State/Zip Phone <br />'2 rc��_�rcaSPl'— 1 <br />Stale License Number ntrace of Work <br />T, —5:6� 5--75-- n— <br />Proposed Use of Building Contact Person (Plan Review) <br />• Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />Description of Work to Be Done: <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 r�o ,QV <br />I hereby certify that I have read and examined this application and know tho 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 authority to PERMITit <br />violate orcancel the provisions of any otherstale orlocal law regulating construction or the <br />performance of conslnmction. That/ am authorized by the owner of this property to perform the E ( . <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and _. <br />2.96 200 WAC. <br />—� IS <br />Signs D to <br />REVISER 3120113 <br />