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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 />Gly/o-lli <br />2-I17 I�f� s� ��t�� r°✓ <br />PROJECT ADDRESS <br />S <br />Ow er Mail Address City £ratelZip Phone <br />Tenant Mail Address City Slateizip Phone <br />n, L1, gg25 Sy' ke,NG �0;k- I--3`63 rins,iJL 9K2-21 A2S-S08-7J75 <br />Electrical Contractor Mail Address <br />SiTEESDWOPR <br />Slate License Number (required) <br />SF K <br />Proposed Use of Building <br />g0() <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />City <br />State/Zip <br />Phone <br />ns13Z7 <br />City of Everett Business License Number (required) <br />Contract Price of Work <br />Contact PersorvContact Number/Email <br />20 2� Wl�roo'1 C:•Cv r �?Jv �54�'i� <br />Description of Work to Be Done: 1u'•`� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that 1 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 authority to <br />violate or cancel the provisions of any other state or local law rEgulaling construction or the <br />performance of construction. That 1 am authorized by the ewnerof this property to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296,200 WAC. <br />'4Z71 . tAS/1-if <br />FEE <br />.7503 <br />PERMIT# <br />E ly <br />REwSEa 0W6Q0ta <br />