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--- ------------I-rl <br /> ELECTRICAL,,"PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETC,WA 98201 <br /> 425-257-8810 - FAX 425-257-885' —www.everettwa.org <br /> <_ L Ind 5-r `�$201 <br /> PROJECT ADDRESS <br /> _._ O5//ti C Acts Z 7— n. <br /> Owner Mail Address City Statelzfp Phone <br /> Tenant Mail Address city Statelzipp Phone <br /> 4Z5- <br /> L.-��_ <br /> Electrical Contractor Mail Address Cfty State/Zip Phone <br /> State License Number(required) City of Everett Business License Dumber(required) <br /> A? --T SE 4 3zs.ccs <br /> Proposed Use of Building Contract Price of Work <br /> MAT144At3 U1AL%W%AIrI 4ZS-ZIB• E 7 } <br /> Square Footage(If residential new construction,remodel or addition) Contact Person/Contact NumberlEmall <br /> I� <br /> _ n <br /> Number o devices(If lour vo—It aga) j�' <br /> Description of WOfk to Be Done; � v `� � 7 �%-t,-,/ �,� j �� X <br /> FEE <br /> CITY OF EVERt TT LOCAL SALES TAX CODE IS 3105 C) <br /> 1 hereby certify that have read and ex0rrs nad this application and know the same to be true and <br /> correct; All provisions of laws and ordinances governing tiffs type of work will be completed <br /> whether specit'ied herein ornot. 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 ortho <br /> performence of construction. That l am authorized by the owner of Oils pnop,90 to perform the E l coo ---02.1 <br /> work for which application Is made and 1 comply with thq,State Contractors Law 18.27 RCW and <br /> 296.200 WAC. - <br /> � Signature Date <br /> RliL15ED 08'tM2014 <br />