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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 /> 6;-815o24.35 <br /> a - XC-45' <br /> PROJECT ADDRESS p(�� <br /> `Q70.3 4M 2,C%12 <br /> Owner MetCly Slatel2ip Phone <br /> Tenant Mail Address City Stale/Zip Phone <br /> Electrical Contractor Mad Address City State/Zip Phone <br /> (3 5 a I(I <br /> State License Number(required) City of Everett Business License Number(required) <br /> Proposed Use of Building Contract Price of Work <br /> Square Footage(if residential new construction,remodel or addition) Contact PersonlContacl Number/Email <br /> Number of devices til low voltage) <br /> Description of Work to Be Done: <br /> FEE ,/Iff <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 Oj <br /> 1 hereby certify that I have mad and examined this application and know the some to be five and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specifuod heroin or not The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local low regulating construction or the - <br /> performance of constriction. That 1 m authorized by the owner of this property to perform the E <br /> !%Ign <br /> application is lad nd I comply with the State Contractors Law 18.27 RCW and r <br /> ure Dale <br /> aEOSEDG&%70I1 <br />