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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 425-257.6857 -- www everettwa org <br />�1 �13��• S�1` -Ci,t1 � _'� `'� <br />PROJECT ADDRESS <br />Owner <br />_ S 2A 93�- S H Sub <br />Mail Address City <br />E!,!,rz.p Phone <br />Tenant Mail Address City State/Zip Phone <br />ElectncalContractor v Mel Addle$ <br />Slate Licence Number (required) <br />Proposed Use of Building <br />Lf -ZCZ- <br />Cny Stale/Zip Phone <br />City of Everett B.Siness License Number (requred) <br />Contract Price of Work <br />IIU- <br />Square Footage (If residential new construction remodel or Addinan) <br />Number of devices (if low voltage) <br />Description of Work to Be Dona <br />V (A — <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IB 3106 50 co <br />I hereby certo that I have read and examined this application and know the same to be true end <br />correct All provisions of laws and ordinances governing this type of work wit be completed <br />whether specified herein or not The granBng 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 conshuchon or the /_ ( <br />performance of conshOuction That I am authorized by the owner of this property to perform the 6,' O <br />wurk for which application is made and I comply wtfh the State Convectors Lew /6 27 RCM/ and <br />296 200 WAC. <br />RMseaauazoi4 <br />