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ETC M- CERAPPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> no() CEDAR STREET, EVERETT,WA 90201. <br /> 420,257-8810 - FAX 425-207-8807—www,gvereqwo.org <br /> PROJECT'A DR a <br /> er, mil Address; City SStatetZia Phone <br /> Tenant tviaii'Address City State/Zip Phone <br /> I, ALL-,tilL i', '; DJ 444* L , J ,`Y� <br /> Electrical.Contractor Mail Address City <br /> 'StateiZip Phone <br /> State License.)lumber(required) City of,Everett Business License Number(required) <br /> Proposed use of Buildin'g Contract,Price,of Werk. <br /> 41 . ,. <br /> Square Footage:(If residential newconstruction,remodel or addition) 6. acct Person/Contact tuber/Email <br /> f5luinherof devices(If tow voltage); <br /> l s44"- <br /> e'Ottow of YV ,f to Se Drew ''V--140-1'' .. 4 , <br /> -, <br /> t4 AT' <br /> SEE <br /> CITY OF EVERETT LOCAL SALESS 1AX CODE 18 3105 .------- <br /> 1 hereby certify that/have read end axattened this application anat know the airteto be true and <br /> coma ,4ttpravfsioris of ipws:and`ordtnttncas governing this type of work will be completed; <br /> whether specified herein,or not The'granting of a pertilit does not presume to give authority to PERMIT# <br /> violate or cancel the pro provisioneof any other state.or local law regtilating construction or tho' Q <br /> performence of construction, Thatv1 authorfied by the-owner cif this•properfy to perform:the <br /> work for Which application is made.and l cum*with the State Contractors Law 18,27 f?QW and <br /> ' .2O . <br /> y <br /> tik . .46.L.4"..-412t> —. <br /> nature ,ate <br />