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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 />g-2 3 &l5T i s� <br />fue✓e,� 4K21�)3 <br />PROJECT ADDRESS <br />I�lAll Mevice/r s23 �1S <br />r �; S� �v�e �� W✓>l G1ge2�3 <br />Owner if Mail Address <br />City State/Zip <br />Phone <br />Tenant Mall Address <br />City State/Zip <br />Phone <br />O re _ <br />glecleC ,0 t3v?e <br />/22$ C9�e S{e�el2S UV �%X2S8 <br />'�"6yzy <br />Electrical Contractor Mad Address <br />City State/Zip <br />Phone <br />State License Number (required) <br />City of Everett Business License Number (required) <br />kie.S 1 c4en {14.1 <br />Proposed Use of Building <br />Contract Price of Work <br />Wq llx M-GecI? <br />IZOD .csq �r <br />yZ5 317— V17/ <br />Square Footage (If residential new construction, remodel or addition) Contact PersonlContact Number mail <br />Number of devices (It low voltage) <br />Description of Work to Be Done <br />l e wore /"t A'/?eh i er�Qoie�� -- <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 -75 Oil <br />I hereby certify that I have mad and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances goveming this typo of work will be completed <br />whother specified heroin ornot 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 law regulating construction or the ^ , I 0 <br />performance of construction. That I am authorized by the owner of this property to perform the C `� <br />work for which application is made and I co�1 with the State Contractors Law 16.27 RCW end <br />296,200 WAC. / // //\ <br />6 /1 ('11 S- <br />REWSE00606401/ <br />