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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES g`�,�� 6 <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-8857—wv✓w.everethv�.org L� O(�O� ��G, <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />� (r70 � �I�Qr�(t'Zn W'� ( <br />PROJECT ADDRESS <br />��iur W� C�,rr.�dePi•��� 1�ot�� 1�D�i � Su,.�,�Mn,� .}ef� f '( � 2� `� <br />Owner PAail Address Cily Slale/Zip Phone <br />J��C ���ekkune �G�I u�yr{�� ��� �v���--� �-�-(ti aLo� <br />Tenant Mail Address Citv StatelZip Phone <br />GV�G�reen �i��'�v��t"�in 77.75. �'u,-��n I-I • T�� ff�� �l�'/�'1 c�� ° a <br />Elec(rical Contretlor Mail Address City StafelZip Phone <br />�����i l�'l `1 S � 0- � <br />State License Number <br />Praposed Use of Building <br />Description of Work to Be Done: ��� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEN/AYS, MC OR AC CABLE. <br />CIl'Y OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />read and examined this <br />nvs and ordinances gov <br />rnoL The granting of a <br />andl <br />G�• °- <br />Contract Price cf Work <br />va.� �,, rr-e <br />Contact Person (Plan Revi=_w) <br />FEE <br />ition and know Ihe same fo be true and <br />'his type of �vark �vill be completed <br />does nofp resume to give authonty io <br />law regulating construclron or the <br />ownerolthis propeRy to perform the <br />Stafe Contracfois Law i827 RCW and <br />SilS( �b <br />oate <br />i� <br />� -71,i <br />LriO <br />� .. , �. <br />