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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 />PROJECT ADDRESS <br />QwRei to to Ado-ess City State!Zip <br />Phone <br />Tenant MV Add,ess Coy SteterZ to Phone <br />Flectncal Contractor Mai Andress Coy � Sraterlip Pnone <br />ffflw Il,Un� `Z-,cam' F <br />State License Number Contract rice of Work <br />Proposed Use of but drrq Contact Person (Plan Review) <br />Square Footage (If fes,; enhal new construction, remodel or addd�on) <br />Number of dev,ces (If low vollage) <br />Description of WiO to Be Done �YJ I }� I j,�jl,p�l,r `zJU V _ iN /��_✓ f\Y��J"rG� <br />&AID —CS <br />--------- --- - - - <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cefidy that l have mild a erantined Otis application and know the sarne to be brie and <br />correct All prowsrons ollaws a ordinances govemng this type of work will be completed <br />whether spec r I d herein of not tie granting of a paired does not presume to give authority to <br />violate or cancel the pr r f any other state or local law regulating construction or the <br />performance of c-or nrcl r hat I am authorized by the owner of this property to perform Ibe <br />work for whic/r rltc, n nade and 1 comply with the Staff Contract is Law 18 27 RCW and <br />296 200 WAG / 7 <br />---------------- - - ---- <br />S� e! flat <br />r7ro <br />PERMITk <br />E <br />nEVNSFr lS0+J <br />