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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 /> og <br /> PR ECT ADDRES <br /> Owner Mail Address City State/Zip Phone <br /> / <br /> Tenant Mail Address City tate/Zip Phone <br /> -/�1�ze K-�-�f E-1 cc) C' <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> State License Number(required) City of Everett Business License Number(required) <br /> roposed Use of Building,' Contract Price of Work <br /> 01 <br /> Square-Footage (If residential new construction, remodel or addition) C ntac erson/Contact Number/Email <br /> Number of devices (If low voltage) <br /> 4/1 <br /> Description of Work to Be Done: s /� 'a dd-16 Q <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 It - 75 <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 P <br /> performance of construction. That/am authorized by the owner of this property to perform the c `5 to OV <br /> work for w pp kation ade and I comply with the State Contractors Law 18.27 RCW and <br /> 296.E C. <br /> / V <br /> Si - - - ate <br /> REVISED 08/06/2014 <br />