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<br /> EleCttical �;ontractor Ma11 Address City S ta t�/Zip �hone
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<br /> �tate Ucen�e Numlaer(r�c�uireci) G+ty af Everett Busir�e�s l.icense Number(required)
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<br /> Propased Use of Building �ontract Price of W�r�k
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<br /> Squa�e Fciqtag�(if residential n�w eonstruction, remodel or adclitiQn �""�"` �
<br /> ) �ar�tact Persan/Cpnt�ct�lumbar/Em�il
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<br /> aescri�tion of Wurk to Be Done: �=,�fL��':1^7C. L'1�(:" 5%�iV i rd " `
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<br /> !hereby certify that l have read and examb�ed fhis applicatian anclJ�now fhe same fo be b�ue and �
<br /> cnrrect Al!prpvisions of laws and ordinances gaverning�his type of warlt wil!:�e eomplefed
<br /> whether specified l�erein ornot The granting of a permi�doss.nof presume to give aufhorlty to p�RMIT# �
<br /> violata or cancel the provisions of any other state or local law regulating canstructian or the
<br /> p�rformance of consfrucFion. That�l am authonzed by fhe owner of tl�is pranerty to perform the � 1`� ,�,. ��
<br /> work for which applicatron is made and(comply with the State Contractors Law 98.?7 RCW and 6 .J
<br /> 296.2D0 WAC.
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