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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.everettwa.org <br /> l 2- `�f tiv <br /> PROJECT ADDRESS <br /> cZ NDC-cf io L[ <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> \(,C, jjtj7G Ll Noe N a <br /> Electrical Contractor Mail Address r City State/Zip Phone <br /> _Y J i 1'`/1 0 r-e_ 993- 4l>( I,u ul(' <br /> State License Number(required) City of Everett Business License Number(required) <br /> Proposed Use of Building C tract Price of Work <br /> I K-1E M Ll L�7-3 Z 7-'�3 Fj Z_ <br /> Square Footage (I ^sidential new construction, remodel or addition) r,ontact Person/Contact Number/Email <br /> Number of devices (If low voltage) <br /> Description of Work to Be Done: W <br /> FEE O <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �D D� <br /> I hereby certify that l have read and examined this application and know the same to be true 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 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 construction or the <br /> performance of construction. That i am authorized by the owner of this property to perform the 1150q-Oq(o <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> S' Date <br /> VlsED 08/06/2014 <br />