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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES 4`Dj_6� <br />3200 CEDAR STREET, EVERETT, VJA 98201 <br />425-257-8810 - FAX 425-257-6857 — www.everethva.org ��Cj � L,_d� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� 13 � �/�l�..F11�1(:C� � IVf� • �V�'YE�S' �.i`N ��6 ZV� <br />PROJECT ADDRESS <br />T 1�6��C <br />owr,e� <br />Tenan; <br />Mail naaross <br />Mail Atltlre55 <br />City <br />Ciry <br />Statc/Z�p <br />slnlcrZ�p <br />Phox <br />P.7o�e <br />,SU21BN�'lZ C�CC�IL�C rSBQ�X Ll7o Vo�b�v,.v1��E (,�.FL ��U)Z 7_.�6Z1$ 09 <br />EledncalContrBctor Mail�Cdrass Cily Slate�2ip Phone <br />S��tBc2 `lS3 D� <br />Sta1e license Number <br />300� <br />CoNrect Price of Work <br />Preposed Use of Buildir,g Contact Perscn (Plan Review) <br />DescripCron ol Work to Be Done: ��C� Zo � Z�±� V U 2C t,�' 76 CQ�� <br />c..� GCII < �-hE <br />NOT[: WIRING IN NDN-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3'105 <br />! ba��e mad <br />irs o(lav�s a <br />or <br />Ihis apF������on and Anmv 1he s2mo to be frue ar.d <br />govemmg this type a/ u�crk k�ilf be c�mp.'efeU <br />:!a permrt does not resumc fo grve authonly (u <br />�fe orfocallaw reguPting consfruclion or tlie <br />rzad by ihs owner o(Ihis properhj fo penomi fhe <br />�V ivdh fhe State ConfraCtors Lau• i8.27 RCW and <br />u(71o�1 <br />��-u �l z5 = ?��-$6o�f <br />FEE <br />� ��c�-�-czr/ <br />l d 8098-88L-SZ7 �euquog eoef e60�80 60 LO �dtl <br />