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02/171.2016 11: 52 25328 GARNER ELECTS PAGE 01101 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE'TT, WA 9°201 <br /> 425-257-8810 - FAX 425-257-8857—mwt.everettwn.org <br /> FbiuOlelir <br /> PROJECT ADDRESS <br /> Owner Mall Address City SLatc/Zlp phone <br /> Tenant Mall Address City Statc/7_Ip Phone <br /> 3Wnem Lech-ic- ��-2.S 2��. ,�4yc S, ler r W/5- D��Z ,S3-�-2-603 <br /> Electrical Contractor Mall Address City Stale/7-Ip Phenc <br /> State License Number(required) City of Everett <br /> �BLISIness License NLInlber(required) <br /> 412 6M Z <br /> Proposed Use of Bullding Gonlraot Price of Work <br /> Square Footage(If resldentlal new n, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(If low voltage) - <br /> Description of Work to Re Done; �,-�,�• <br /> _ ei <br /> FEE <br /> CITY OF F_VEPETT LOCAL SALES TAX CODE IS 3105 4 j <br /> 117 preby certify 0700 have read and examined this appliO95011 a17rJ know the sante to b(3 true and Il <br /> corr00t. All previsions of laws and ordinances governing this type of wor-Ir will be. completed _w.••- <br /> whcther speclf/ed herein or not. 7'170 granting of a par-mit does not prosume fo give aufhordy to PERmMl� <br /> violate or cancel the provislons of any other state 01-10001 law regulating constnictirm or the <br /> performance of construction. That I am authorized by fhe owner of this p1-opody to perform the E <br /> work for which app/kation is made and t o <br /> 296.2 o WAC. 0mply with the State Contractors Law 18.27 RCW and ` <br /> Slgnai.U'rm <br /> RFVKgho Q9/OQ/JO 14 <br />