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-2"-9- <br /> 15. <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 /> PROJECT ADDRESS <br /> �o 3 wh' 98/2 -22,97 -5125 3:� -Z 2 <br /> Owner Mail Address City State/Zlp Pt one <br /> r. <br /> Tenant Mail Address City State/Zip <br /> Phone <br /> Electrical Contractor Mall Address Clty State/Zlp Ph Dne <br /> __ Did <br /> State License Number(required) City of Everett Business License Number(requi ed) <br /> D d <br /> Proposed Use of Building Contract Price of Work <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(If low voltage) <br /> Description'of Work to Be Done; <br /> FEE, <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> /hereby certify that 1 have read and examined this application and know the some to be true and (P <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 permlt 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 l am authorized by the owner of this property to perform the <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC,, <br /> gnatureClate' <br /> RBVISW 0&062074 <br /> g/Z:afi>rd L91313L9Z9Zf,6:01 =mo z 4 TE=90 TT0Z-6T-A0N <br />