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u <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 42:i-257-8857 — www.everettwa.org <br />APPLICATION3 ARE ACCEPTEO FROM 8 AM TO 4 PM <br />�'� I � F �c Pn �:J� ., _ <br />PROJECT ADDRE <br />Owner <br />Tenenl <br />EIBCtfi�l COntfaGtOf <br />Mail Address <br />,� <br />Mail Addreas <br />Mail Address <br />l✓lFlIQaEL"T �� (�� <br />State license Number <br />C L. � I d t C M'O <br />Proposed U e of Building <br />Desaiption o( WOrk lo Be Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />8E IN RACEWAYS, MC OR AC CABLE. <br />Ciry <br />Ciry <br />Slate2ip <br />State/Zip <br />Phone <br />T / Nv <br />Phone <br />Ciy 512te/Zip Phone <br />� / i ^ V � <br />Contract Price ot Work <br />�i� �iMw�Fit/` ` <br />Contact Person (Plan Reviaw) <br />CITY OF EVERETT LOCAL SALES TAX cOOE IS 3105 <br />I here6y ce�Uly thul I have rtrad and examined lhls applicatlon and know the <br />cortect. Alf provisions o/laws and ordinances qoveming thls fype o(work w <br />whefher speci(ed herein or not. The granting of a permR does not presume <br />vio�ate or wncel frys provisions of,any othe� s�ate o`focal !aw regulatFng co. <br />�1-S�� li <br />£��;a�ed L588L5�Sch[�°1 6L965L9888 <br />e to be frue and <br />complefed <br />�e authorify lo <br />tion or Ihe <br />'a pedorm thB <br />'8.27 RCW and <br />Ct <br />FEE <br />5�9• ? <br />110� - pG� <br />dN��WO�d LS�LO iz0z-sa-�nr <br />