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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 everetlwa org <br />L= /a /r• -- ao 3 <br />9 z 1 8711", -j)-L1'-- sE <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />AL efd lkOE 96zk 4 <br />State License Number <br />Proposed Use of Building <br />Mail Address <br />Mail Address <br />City <br />City <br />qs3/ 3/4;fAe SE - <br />Wit Address <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (II low voltage) <br />Description of Work to Be Done: Z <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1/- 01-/3 <br />State/Zip <br />State/Zip <br />Phone <br />Phone <br />'Vz' - <br />C--ow-P,Gy`- /0/¢ ?PMF 337-30104 <br />City Stale/Zip Phone <br />1" 73010 <br />Contract Price of Work <br />Contact Person (Plan Review) <br />9L / is -- <br />1 hereby codily that 1 have mad and examined this application and know the same to be title and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specirred herein or not. The granting of a permit does riot presume to give authonly to <br />violate or cancel the provisions of any other state or local low regulating constructionl or the <br />performance of constmction That lam authonred by fire owner of 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 />298 200 WAC <br />FEE <br />PERMIT# <br />E1311-003 <br />HP 195re Iwo] <br />