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ELECTRICAL PERMIT APPLICATION <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 <br />, � —� I / i <br />i <br />�� ���_�_ ���C`v�������c- c,�s,��_ <br />=�' <br />PROJECT ADDRESS <br />� I ; I �- <br />oW„�� <br />__—J��,t2 '�-'_. <br />Tenant <br />� � <br />,, ,, " -� <br />/ <br />-_ ��� � <br />M11nil �ddretis <br />Mail Address <br />�� �rf, <br />Cdy <br />Slate/Zip <br />Phoee <br />Cily Slak.,7,p Phonc <br />�f �L,) �J� / ��� S�Q NC..�C�iJi �� <br />Eleclrical Conlractor hlail Address Cily <br />.%'C', 3 � c 31�c -3>c �� � 3 <br />(! L�, � � L � �_ 1 <br />State Licanso Number <br />�� <br />� � � ' <br />Proposed Usr, ol Huldiny <br />p��,rripU�m ol Wo�M, �u [3q punr. ___ �__(�'��) �l <br />NOl G WIRING W NON-DWELLINGS IS REQUIRED TO <br />f3E IN RAC[Wl1Ya, t�1C OR AC CABL[. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certJy O�af 1 hace mad anA exeunined Ihis appli; <br />correct All proyisipns ollaws and oiJinan��vs �ovemiri� <br />�vhether sper.�fled h��rein or noL The granting ol a pnrmit <br />violate cr cahcel fhe provisiens of eny ofher Sfple or loca <br />�va�h <br />290. <br />is <br />, i <br />� <br />% /�' 1 <br />« �� / � <br />Slate/Zip Phore <br />S J �(/L' � C! <br />Coniracl Prir.o of Work <br />Conlact Porson (Plan Review) <br />a�hon evnd hno�v fhe s�nie fo be hue end <br />tliis type ol �sork �vill Gc complofed <br />does nof I�resumo fo gire aufhonty to <br />I law regulating consfrucfion or fho <br />r owner o/ (his pwperty fo peAunn fhe <br />Sfa�e Contracfors Low 18 27 RCLI end <br />FEE � <br />/ <br />