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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 428-257-8810 FAx 425-257-8857 ..everettwa.org. <br /> 3/ /4n, LA, AVE: <br /> PROJECT ADDRESS <br /> Ga(1) Rt)Ce 12- <br /> 3 ik\re <br /> 1149 <br /> ..„‘ <br /> Owner -1 Mail Address City State/Zip ;101,0P. Phone <br /> Tenant Mall Address City Stateizip Phone <br /> ae_o_ L3/4465 r;13.e4). AVE 3E- Lt -1 \610,616. -i <br /> Electrical Contractor Contractor Mail Address City StatefZip Phone <br /> 1ZDE:45/f,„:T )/01)z) 025 j <br /> State License Number(required) City of Everett BUSineSS License Number(required) <br /> r-#1" <br /> proposed use of Building Contract Price of Work <br /> S ODD <br /> \nrVk6Ne,\\,e,,,P %(--doi)5eAe6-1/1.1 0._pria, <br /> Square Footage(If residential new construction,remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(If low voltage) <br /> 4-ti 5ete- 6eet-t-rtAv <br /> Description of Work to Be Done: <br /> -FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 00 (51° <br /> hereby certify that!ham read and examined this application and know the same to be due and <br /> . . . <br /> correct. All provisions of laws and ordinances governing this type of work will he completed <br /> whether specified herein or riot. The granting of a permit does not presume to give authorityto PERM11# <br /> violate or cancel the provisions of any other state or local law regulating constmction or the <br /> perforrnance of constasction Theft am authorized by the owner of this property to perform the E /690 t•?- f ( <br /> work for which applicatio •— and comply With the State Contractors Law 18,27 RCW and <br /> 296.200 WAC. <br /> ,Ago <br /> 11110 t." #7,(1, t2 <br /> IMP - <br /> --- Date <br /> Revise,avowal 4 <br />