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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 5_ � S—�� <br /> 425-257-8810 - FAX 425•257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ���� ���� <br /> ��� � h�kL �� i�L�i:. <br /> PROJECT ADDRESS <br /> V� � ASau�'--- 101 � enK�� q;:� c��r.rn c,n1 9yz�� _ <br /> p�yne� Mail Address City Stale2ip Phone <br /> Tenant rn��i nadmss City Sta�e/Zip � Phona <br /> Sy t'CeCTfZJL C�c / 13uu S: 3�i`_ SfN/��s � cltcva� U.,A 99w�� — <br /> Eledncal Confracto� Mail Address Ciry Stale2ip �2�_ �� �h�q,y <br /> d <br /> � �= <br /> SyL�LC� L �c �tSyuu — <br /> State License Number Contrect Pnce of Work <br /> S/r1G � i �;1,t� � c.y ��.{� � � �c c _ <br /> Proposed Use of Building Contact Person (Plan Revlew) <br /> Descriplion oI VJork to Be Done� � t3 rL A C C {'{�/� !3L <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIREC TO FEE <br /> B[ IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 1105 <br /> 1 horehy eortdy Iha!I h��vo rcud ond e�arnmr.d fhis npplicahon and know tho samr�fo bo frue e�nd <br /> correct All p�ovisions o�Inws anJ rnrhnuncns grn�ernmg Ihis fypo cl work wrll bo conrplotod <br /> whofher spnuGed hermn nr nof The yn,n6ng ol a pernuf dons no(prosume to yrvo authonty ro <br /> violafo or ncel fho provisruns o!any afhei sfafo or local Isw regWafmg consfrucf�on or the <br /> porlonn to ol consfnr:hnn Thal;am aufhonzeAGy Ih�ownero/fhis proporty fo pedorm fhe n <br /> �vork/o wluch appOcal.on:s mado and I compty�wth Ihe Sfafo Contracfors Larv 18 77 RCW nno � , <br /> 296 200 WAC. �� / d� <br /> i-� "�' � <br /> /� �� �,,�-- ' �y �c%� � D <br /> �' Signalwr. �ale <br />