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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET i 98201 <br />42b 257.8810 - FAX 425-257-8bb, v.:v,v everettwa org <br />41 1 A L Evil=� � <br />PROJECT ADDRESS q� <br />eo6eaT L-F-c- I <br />Owner Mad Address City StateQ.p Phone <br />Tenant Mad Address Cdy Stater7ip Phone <br />Electrical Contractor Mail Address City Slate'Z,p Phone <br />Stale License Number <br />Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Square Footage (It residential new construction. remodel or adddim) <br />Number of devices (Il low vollage) <br />Description of Work to Be Done 1_�1✓�� <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 heroin or not The granting of a permit does not presume to give authodly to <br />violate or cancel file provisions of any other state or local law regulating construction or the <br />performance of constnichon That I am authorized by the owner of this property to perform the <br />work for which application is made and I comply with the Slate Contractors Law 18 27 RCW and <br />FFE <br />PERMIT# <br />EI4dl� IZZ <br />15% <br />REVISED Nag) <br />