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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREiT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everetiwa.orc� <br />APPLICATIONS ARE ACCEPTED FROM 8 s.M TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />7(J7 �O /3c��erl�1 �4i9P E✓L�T7% �t/� �gL�� <br />PROJECT ADDREgg <br />Owner <br />Tenant <br />` <br />7!� Z co � <br />Mail Address <br />Mail Address <br />�( c/ �iii�C. {-/ !G C <br />Conlraclor Mail Addross <br />�cJ i �71��'e� �(� ��'� <br />State Licenso Number <br />Proposed Use of Building <br />Descriplion of Work ta Be Done: <br />G^ <br />O <br />.� rr�'� <br />City <br />City <br />llls�,d// <br />Clty <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I have read and examined this <br />ns ollaws and ordinances gov <br />°rein orno(. Tlie arantinn nIA <br />is made and <br />% <br />�tr'r't% �LU/`��1F1Z0� <br />SWIe21p Phone <br />SWte2ip Phone <br />'G�i.Sa, li- u/!� l t�S Z%U <br />Slate2ip Phone <br />G� Y2s8�u�� <br />�'7 S C�U <br />Contract Price of Work <br />/ r �Cf,� <br />Contact Perso (Plan Review) <br />and know (he same to ba �rue and <br />Vpe oI work will be complefed <br />rot presume fo give aufhority to <br />s 9o�th s property f�o pe� �ihinethe <br />Contractors Law 18.27 RCW end <br />i <br />� j `7 — US <br />Date <br />� r�5 o5-oQ� <br />FEE <br />