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FROM :Dick Howard & Sons Elect--` FAX NO. :4257765895 Jul. 08 2016 05: 10PN P2 <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.gov <br /> PROJECT ADDRESS 3 <br /> IS <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> Eiectrlcal Contractor Mall Address City StatelZip Phone <br /> ID k C k-V�s1 .�Q,Ut 01 `-k CA 4' <br /> State License Number(required) City of Everett Business License Number(required) <br /> Proposed Use of Boliding Contract Price of Work <br /> Square Footage(If residential new Construction, remodel or addition) Contact P- e�ontact�N"umber/Email <br /> (� e.i j RVivna -(-11'P <br /> �VVIA.L <br /> Number of devices(If low voltage) _a <br /> Description of Work to Be Done: -V1` u t �� q�Lr T. 1�,a� G--C�U <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3905 <br /> 1 hereby certify that I have read and examined this application and know the same to be true and <br /> correct. Al!provisions of taws 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 of local law regulating construction or the <br /> performance of construction, That I am authorized by the owner of this property to perform the E <br /> work for which application is made and 1 comply with tho State Contractors Law 98.27 RCW and <br /> 96.200 <br /> Sign Date <br /> REVISED rAVD&1014 <br />