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ELEGTRICAL PERMIT APPLICATI�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERE?T, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org 3��� 1 S <br />a� ��- a }� s-� _ <br />PR�JECT ADDRESS <br />Everett Housing <br />Owner <br />Tenant <br />3107 Colby Ave <br />Mail Addmss <br />Mail Address <br />Everett <br />City <br />Ciry <br />� %�O� �-I i�� <br />WA 98206 425-303-1121 <br />SlatclZip <br />StatelZip <br />Phone <br />Phonc <br />West Coast Electrical Services 12527 Mukilteo Speedway #103 Lynn:vood WA 9A087 425-322-3189 <br />Eiectrical Contractor Maii Ar�.. ss Ciry S�aterLp Pnone <br />WESTCCE897PQ <br />State Llcen,e Number (required) <br />Duplex residential <br />Proposed Use of Buildinc <br />1150 <br />Square Footage Qf residenUal new conslrudion, remodel or aGdition) <br />Number of devices (I( low voltage) <br />Descriplion of Work to 8e Done: R0f110C�21 Of 2XISflflg <br />CITY OF EVFRETT LOCAL SALES TA% CODE IS 3105 <br />053544 <br />City of cverett Busmess ;.icense Number (required) <br />�5,600 <br />Con[rad Pnce of Work <br />Kyle Adams 425-322-5189 _ <br />CoNact Person/Contacl Nc�nbedEmail <br />I he�eby certify tha( I have rr.ad and exan, ined fhis applicafion and know Ihe same fo be true and <br />correcL All provisions o/laws �nU ordinances ,qoveming fhs type o! work will be complefed <br />whefher specified herein or noL The gianfing o/ a permit dor�s nof p�esume to give aufhonty lo <br />violate o� cancel fhe prowsions o! an•� iher slate or local law regulaling cnnStrrction or fhr. <br />peAormance ol consfrucfion. Tnaf 1 am au7honzP� 'v fhe oH�ner o/ this propr,qy lo perform Ihe <br />waic �or whkh application is made and I comply r.:�, �!he Sfafe G�nfrar.tcrs La v 18 27 RGW and <br />296 200 WAC. <br />�� .��.- Z (�; I � �� <br />rrerisro c,wr✓,�aia <br />FEE <br />l ��� <br />PERMIT# _---� <br />E (502- I � <br />