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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.gov <br /> PROJECT ADDRESS <br /> 7 Gy�.v�rr <br /> Owner Mail Address City State/Zip Phone <br /> Tenant. Mall Address City State/Zip Phone <br /> CU,C <br /> • <br /> ate). '41: ' t- *1') �t: �. 1d\• [•.♦ <br /> Electrical Contractor Mail Address .City. State/Zip Phone <br /> 0624 <br /> State License Number(required) City of Everett Business License Number(required) <br /> 1G2 <br /> Proposed Brie of Building Contract Price of Work <br /> e Footage <br /> Square Footage(If residential new construction,remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(If low voltage) ��t�t <br /> Description of Work to Be Done: y t I\�'�e. 1�..-7V �\ Q`,' <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 ``PFT 7V1 t <br /> correct.All provisions of laws and ordinances governing this type of work willbe 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 ���� <br /> performance of construction. That 1 am authorized by the owner of this property to perform the A <br /> work for which applicationIs made d l comply with the State.Contractors Law 16.27 RCW and <br /> 296.200 WAC. <br /> Signals Date <br /> REVISED 08/062014 <br />