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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 /> W Yi C'j c-f C- r <br /> PROJECT ADDRESS <br /> Ids ✓�LJ� j %�� G �� y ' 3 <br /> Owner Mail Address City State/Zip Phone_ <br /> yes- 3V7 . s.z3 z <br /> Tenant Mail Address City State/Zip Phone <br /> 7303 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> ,SEA rf— E7 6 /D �� � S31/y <br /> State License Number(required) City of Everett Business License Number(required) <br /> Ado , oD <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:: Dis c,)-L+-e-7' <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 + ®� <br /> /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 <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> Signature Date <br />