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ELECTRICAL PERMIT APPLI�ATiON <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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />b�f I � E✓�r�- 6rt-c—�,-- �'Y <br />PRC JECT ADDRESS <br />QSQ P%Yl�-T1`ii�t-Sfi:v �ZS56 LlFt�Ci LYT7' � Sfih'1Ti�L ���f�s <br />Owro:r MeilAddress Ciry Stale2ip Phone <br />PA �.�„i f�i F�n-S 6'l I �(�+�-���� w�'Y� E �G�,wr�- �,.�i y��3 N=M_ Y�r <br />Tenant MailAddres; Ciry StateO� Phone <br />i�un-.. �: wi� SLG�✓ I l � rN SI-h� iu�-...-f. �-�-r %K i 33 a-� 6-S�Yz- k73 � <br />$ 7 `f- li-w�i�-H /� <br />ElecticalContrador MailAddress Ciry State(L�p Phone <br />5 N-o Il-6 5/j i`6 o'Ll V✓ �l ��( �I �\ <br />State License Number � � J <br />C e p, r-+ cr'�-Gr /YL -(Lt� A� L <br />Prop �sed Use of Building <br />�I�U9O•Jv <br />Cont2d P <br />T�� v1� vi.niD F�7-�"`�v U <br />Contad Person (Plan Review) <br />� L t c /3 a.A N'+`1 P Dr�wR-Tzm 5 yG,-� <br />Descnption of Work to Be Done: Ca r S T7 7� I <br />� s F��,- �,.,t-,..� <br />-��� sTGrl , c„�s��k�T �I � ao r�-,�� <br />t,,.— ��L t^.('tLL SLG�.. Q- Gor�r��GT �K-vS is•�� �y��.�•-._z <br />ss G�� Lyr c- <br />i Z7 I.- l- S L- r✓ l✓A �� � S:. G� i N Fi��n � � G F-lti(� �^-:✓TS , O N: I�E W C J.�fi E. <br />�� � � <br />NOl E: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAVS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I her��by certily fhat 1 have read <br />concct All piovisions ollaws a <br />whef ier speci(ed herein or nof. <br />wola o or cancel fhe provisions <br />perfc �mance ol construclion. T� <br />work /or which app6cation is mz <br />296.:'00 WAC. <br />/ <br />gove��ng fh/s lype of woMhwil� be comple ed and <br />�(a permtl does nof resame to give aufhonty fo <br />�te or loca/ law reguPfing consWchon or the <br />ized 6y fhe owner ollhis propedy fo pedorm the <br />i....J�h Iha clafw Cnnlrac(nr.c Lmv 1827 RCW end <br />FEE <br />�� ' � <br />