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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 ' <br />425.257.8810 - F/.X 425-257-8857 — www everettwa oig <br />C;'yo 3 -o sS <br />PROJECT ADDRESS <br />Owner <br />Mad Address <br />Tenant head Address cny <br />Contractor Mad Address C'ly <br />C-,A2- NEFC,%S RA <br />State License Number <br />Proposed Use of Building <br />Square Footage (II residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />Description of Work to So Done: <br />-Se1r W2L <br />slate/zip •4ZS-Me-'r7A'(D& <br />�cjWbg Zav -37Li ,+-tIn <br />S1a1e1ZIP Phone <br />rL,Aqt3L 253-112-W51 <br />slale:'p <br />Phone <br />Contract Price of Work <br />-bili0►ejelo <br />Contact Per on (Plan Review) <br />3U0-01$0•Z8c <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 7-5 `0 <br />hereby certify that I have read and examined this eplAcation and know the same fo be fine 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 old pemrit does not presume to give authonty to FEIH <br />11Trt <br />violate or cancel file provisions of any other state or local law regulating construction or the <br />performance of construction. That I am authorized by the owner of this property If,pedomf, file J J7 <br />wort, for which application is madid I comply with the State Contractors Law 18 27 RCW and <br />295 200 WAC /J r <br />REVISED IWO <br />