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I <br /> 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 /> lS �lsf s�� In -i6-r5 <br /> PROJECT ADDRESS <br /> i�'1 ' 811'or- wl 3/5 G/y� y� <>r �r�a t�✓� ��203 y2s-75y s�'i7 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City Stale/ZIP Phone <br /> Electrical Contractor Mail Address Cly State/Zip Phone <br /> Slate License Number(required) City of Everett Business License Number(required) <br /> ei - -- <br /> Proposed Use of Building Contract Price of Work <br /> kik y2s 7 <br /> Square Footage(If residential neWconstruction.remodel or addition) Contact Person/Contacl NumbertEmeil <br /> Number of devices(If low voltage) ', <br /> Description of Work to Be Done: W/ Mr� �� ¢� <br /> PEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �j <br /> I hereby cortily that 1 have read and examined this application and know file some to be free 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 oto pemdf 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 /> performanco of construction. That I am authorized by the ownor of this property to perform filo E 1�l <br /> work for which application is made and I comply will,the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> Dare <br /> alurc <br /> ------- <br />