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ELECTRICAL PERMIT APPLI�ATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-7.57-8810 - FAX 425-257-8857 — www.e�iereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />���`( �✓Fpt�rtfCi✓ w,1�1 <br />PROJECT ADDR[SS <br />E✓rrce�� N c�����s c�L � �i ����n �rr• �✓r�' y���� Ny � gio-vva�rr�G <br />Owner M11ail Address City Slate/Zip Phone <br />S ��� �g'�u� <br />Tenant Mail Address <br />City <br />SfalelZip <br />Phone <br />nr�T o�ic 5��� crti/>. lzSS4i<37t.i1h� �. �✓• Se��l.e� V/i �F6) 262 aro� <br />Electrical Contraclor Mail Address Ciry State/Zip Phone <br />/✓�kTic�s�e3�m� <br />Slate License Number <br />2r��1� <br />Proposed Use of Building <br />00 .00 <br />Cont ct Price of Work <br />SY��E Z�dEn��� <br />Contact Person (Plan Review) <br />Descriplion of Work lo Be Done: I N5�(Q11- O� � L�NM • dc//j-LL S'/Gi'�' <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 />read <br />is <br />296.200 <br />this applicafion and knoiv fhe same to be true and <br />governmg this type o/ work will be completed <br />Na pemut does not presume lo give aufhor�ty to <br />rte orlocal law regulafing construction or fhe <br />zed by the owner of fhis property to perform the <br />v�vilh fhe Sfate Confractors Law ]ii.27 RCW and <br />s"�3 -�� <br />FEE <br />