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.. '.. �;'c C. :'; 1: . ...ci ��e:trii <br />r <br />uo.2722 P. 2 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEOAR STREET, EVERETT, WA 98201 � 1O—O 9 <br />425-257-8Ei10 - FAX 425•257-8857 —www.evereltwa.org v,�CfD 2—D��j <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��-'� \ �� ���4 ,:� �1.�. � �j � i.��� i� l,�/Ya <br />PROJ[CT ADDRESS <br />�� P �� <br />Owner <br />t� <br />Tenent <br />�� <br />EieClrical ConVnctor <br />M11ail Addiess <br />Cdall Address <br />�...�._n. <br />MPiI Addmss <br />� � -� v��t ��� �P�� <br />Stalo License Numbor <br />\�.�� �C-�t�s�J <br />Proposed Use a( �uilding <br />Oascrip�ion o( Work to Be Oone <br />NOTE: WIRING IN NON-DW[LLINGS IS REQUIRED TO <br />13E IN IL4CEWAYS, MC OR I�C CABLE. <br />CITY OF C•VERETT LOCAL SALEB TAX CODE IS �106 <br />I horebY cor}ity that 1 Aeve rend and oxaminod this applicaGen and <br />rnnec(. A!I prcvisions of laws anA ordinanws yovemrng this lype <br />�vhoinor snaciliod herein noL The gronling o� n pemi t Uoes nof <br />vio6�tu o� cancul �ho p� , ons of aqy ofhor s(afo or local law iequ <br />pudonnance o! consf cti� n. Tha( I am authoritod Gy thia owner u <br />�wrk Ior whr�h appli fion is r�iado and 1 comp/y with the State Co� <br />ctry <br />City <br />to <br />� � � a�� <br />Slete/Zlp PnoO¢ <br />( � <br />S�ele/Zip Phone <br />� SlatelZip PhonC <br />�� ,quo �csU <br />Controct Price of Work <br />�.2 �.UV�.e-e 1.�,/ <br />Conlact Pereon (Plan Review) <br />� ro be fnre and <br />comp/eteA <br />ru autho�ty M <br />tfOn o� the <br />n Vetlonn !he <br />8.27 RCW anA <br />FEE <br />�f�Ol'U�, <br />