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From: 07/21 ffi4 11:57 0048 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 /> PROJECT ADDRESS <br /> I t'T I &0j)S1(q_ f► OA,-IL4 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> n t, - — 102>1 11Z5-N3-lel <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> (-or4-T1zDzice I M2 f-/4 . 'X--) <br /> State License Number Contract Price of Work <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: t»"SfCi��/J.tC7 A. 4ftJ CI Ize-0 r—I AO D 12a J WcCU l 7� <br /> EE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 C 00 <br /> l hereby certity that l have read and examined this application and know the same to be true and S <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 law regulating construction or the ^ <br /> performance of construction. That/am authorized by the owner of this property to perform the E q 5 <br /> work for hich application is made and/comply with the State Contractors Law 16.27 RCW and l <br /> 296,20 WAG <br /> Signature ate <br /> REVISED 3/20/73 <br />