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03/11/2014 08 :45 #4280 P. 001/001 <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 /> o� �' /24ct ftLL rJ( A Grp <br /> PROJECT ADDRESS 4/�,�? <br /> (Mv DA-A/lam- 7362 33114l/ Serpi-int 9d/4s <br /> • Owner Mail Address City State/Zip Phone • <br /> Tenant Mail Address City State/Zip (3g.' Phone <br /> • <br /> A'. r r.,, �i�% Z2 - 4.11's.7. A/6 <br /> Electrical Contractor Mail Address City State Phone <br /> Eitel-41W 2 id° Se (4-7 --w.f./904 <br /> State License NNuMber Contract Price of Work <br /> f <br /> Proposed Use of building Contact Person (Plan Review) <br /> Square Footage(If residential new construction, remodel or addition) <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: _ At _,. C L,F)JA-11/4 r. -0 <br /> A /_ . L)o .: , eh 1- 0 l 1'J <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE is 3105 <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 taw regulating construction or the 'n p �-, <br /> performance of construction. That I am authorized by the owner of this property to perform the E V L l L 0 O- D2 <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC <br /> Vii%/ 01/5/Zy <br /> ate <br /> - v/SEp 320113 <br />