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FROM :Dick Howard & Sons Electr FAX NO. :4257765295 -eb. 24 2017 11:32AM 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 <br /> Owner Mail Address U City State/Zip Phone <br /> Tenant Maii Address city State/Zip Phone <br /> Electrical Contractor Maii Address city 5tateJZip Phone <br /> State License Number(required) City of Everett Business License Number(required) <br /> j <br /> Proposed Use of Building Contract Price of Work <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: PWi( <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> /hereby certify that/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 ` l <br /> work for which application is made and I comply with the State Contractors Law 98.27 RCW and,, <br /> 200 WA C- <br /> M Lk <br /> 3ignGt ___ Date <br /> REVISED 021&W014 <br />