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• • <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.org <br /> E f qb S--116 <br /> 40-88 l Nw 5 _a, -)1( <br /> 30c 3 l v , G S I wo c. i),9— 9 82°4- <br /> PROJECT ADDRESS <br /> F= DE t t\)c( cv 300 3 7-u Gk4S/hJo &Zoz( <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> 0-8 covvZ LLC_ /ui f3 -17N �2 Tc�r�i t> L - ,9&/88 253 -2/Y-loo 4( <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> Pt PPLC e1\11 CL o3 130X77 , Soo <br /> State License Number Contract Price of Work <br /> Csf�.vw � C &2iri-v' �1 1c5cJ <br /> Proposed Use of Buildi d' � Contact Person (Plan Review) <br /> 253 - 2/5-(06.4j <br /> 2 Z , o oo S c-f- <br /> Square Footage (If residential new construction(modeeer addition) <br /> Zoo (16Li- SE c.ez <br /> Number of devices If ow voltage) <br /> Description of Work to Be Done: Iiv 5j. SC_J2 269 o t �, C I SE C <br /> FEE 5 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 11>0)---r6 <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 El 405 0 5 L f <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> Al <br /> d <br /> SignatARIA/ ate <br />