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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 /> A N/0,` <br /> PROJECT ADDRESS <br /> P-Oi Fk-i WA "OL 3t S /t A(.N a t,4 A AVB- elv"-ETF. tA/A .19'1 0 3 <br /> �y <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone,, � <br /> f�S 1D'Y9� /�1AlN ST b l f�E✓�-L 00 <br /> WA -16 ��S Ato <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> 5uN&AESb (P2-Sc S-)— <br /> State <br /> ZState License Number(required) City of Everett Business License Number(required) <br /> EA- 2Sa <br /> Proposed Use of Building Contract Price of Work <br /> b ,14 rj 14 e- NLS-yj? 1,6-6o <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email 60115(it N.0q nJP�E���J/3 �M /�/. <br /> Number of devices(If low voltage) ^ <br /> Description of Work to Be Done: �bb��4. A f��/"�e r-/q L 144, A (kAs �/(/f�•� <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �30 <br /> 0 D <br /> I hereby certify that I 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 t ®®4 <br /> work for which lication is made and l comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WA <br /> S <br /> gnature Date <br /> REVISED 08/06/2074 <br />