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Sep. 8. 2015 9: 48AM No, 0824 P. 1 <br /> 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 /> PROJECT ADDRESS <br /> 49 1h <br /> Owner hall Address Gily Stgle/21p P ne <br /> Tenant Mail Addross city state/ZIP phone <br /> e tical Contractor Mall Address 7 <br /> Clty State/ZIP Phone <br /> '7�op.zus m ) D- g:aj- <br /> ta e License Number(required) City of Everett Busies Licen8e Number(required) <br /> Proposed Use of Building Contract Price of Work <br /> Square Footage(If residential new construction,remodel or addition) Co tact Pers /Contact um e ail <br /> r <br /> 10 <br /> _ ��� <br /> Number of devices (If low voltage) <br /> Description of Work to Be Done; <br /> Al(11 alr <br /> FEF <br /> CITY OF EVEIRETT LOCAL SALES TAX CODE IS 3905 �� I <br /> I hereby certify that t have read and examined this application and know the some to be true and I <br /> correct. All provisions oflaws and ordinances governing this type of work will be completed <br /> whetherspecified herein ornot. The granting of 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 �., <br /> performance of construction, chat 1 am authorized by the owner of this property to perform the E , , ©1 al , <br /> worts for which application is made and 1 comply with the State Contractors Law 18-27 RCW and <br /> 298.200 WAC. <br /> Slgnalure UDgle <br /> REVISED 08/09/2014 <br /> 1 <br />