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10/24/2014 01: 37PM 2535175775 FIRE COM NW PAGE 01/01 <br /> ELECTRICAL PERMIT ARP ICATION <br /> CITY OF EVERETT PERMIT SER ICES <br /> 3200 CEDAR STREET, EVERETT, WA 9&201 <br /> 425-257-8810 , FAX 425-257-8857—WWW.eVe a.org <br /> 3 E3 v`�v Xve <br /> PROJECT ADDRESS <br /> Owner Q, Mail Address City State/zp Phone <br /> Tenant Mail Address City Statalzip Phone <br /> 2o(01 <br /> -z3 <br /> Electrical Contractor Mail Address City StatelLip Phone <br /> State License Number(require ) City of Everett BuisinessiLicense Number(required) <br /> f3r Ucw v`� D 40 S — <br /> Proposed Use ol'Buildin9l Contract Pi ice of Work <br /> 6 2'3'A S-Io <br /> Square Footage(if residential i iew construction,remodel or addition) Contact P8 on/Conta Number/Email <br /> %N J e c�-V� 1.(& o�o� .c a Un <br /> Number of devices(If low Volt e) <br /> Description of Work to Be Don b.@, �p ` '� ems` �t� <br /> FEE <br /> CITY OF EVERETT LOCALS LES TAX CODE IS 3905 �D <br /> I hereby certify that 1 have rea and examined this application and know the Some to be true and v �� <br /> correct. All provisions of laws knd ordinances governing this type of work will be completed <br /> wnetner 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 low regulating construction or the /n /��} <br /> performance of construction. hat t am authorized by the owner of this property to perform t e E �I v l I <br /> work for which&ppiication ism de and 1 comply with the State Contractors Law 18.27 RCW nd <br /> 298.200 WAC, <br /> nature ate <br /> REV)SED 0W&-,Vi4 <br />