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� � <br /> ELECTRIC�►� ERNIIT A PLIC�4To �I <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 /> �/� v� �.l� Gr C��� ��v� J��� �=��-�-�� �v��- �' 8 �� s <br /> PROJECT ADDRESS <br /> l.-rl-� Q b�GG�✓ 5��vrr..e �c� �c�c 1,-e..- <br /> Ownef Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> �'w vt�z�� <br /> EleCtrical nt�aCtor Mail Address City State/Zip Phone <br /> State License umber(required) City of Everett Business License Number(required) <br /> � —� 12� <br /> Pro��osed Use of Building Contract Price of Work <br /> Square Footage (If residential new construction, remodel or addition) Contact Person/Contact Number/Ernail <br /> Number of devices (If low voltage) <br /> Description of Work to Be Done: GVLQ. ��q � �( rC-i.�l f� � <br /> 3 c�-l�-�s �� �,«� ��^v--e, � L�c�� <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �` /"�� J`���� <br /> � �, <br /> I hereby certify that l have read and examined this application and know the same fo be true and ` <br /> correct. All p�ovisions of laws and ordinances goveming this type of work will be complefed <br /> whetherspecified he�ein ornot. The granting of a permit does not presume to give authority to PERMIT# <br /> violafe or cancel the provisions of any other sfate or local law regulating construction or fhe <br /> performance of construction. That 1 am authonzed by fhe owner of this property to perform the E � ���� �� r�^ ' <br /> work for which application is made and 1 comply with the State Contractors Law 98.27 RCW and <br /> 296.200 WAC. <br /> ���v _ � <br /> � — � � <br /> Si ature Date <br />