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ELECTRIC�4L PERMIT APPLIC�4TION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257 •6857 — www.everetlwa.arg <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />l ;'� � Sc ��/c�'zr�lT ,ti� IYL(. G��H-�1 <br />PROJECT ADDRESS <br />Owner <br />Mail Add;ess <br />City <br />State/Zip <br />Phone <br />Si��� QiZZc�r��� %�i��� S� E��?csl���tC vv�j �'i�e�e;� /3i5-Zyi. <br />Tenant Mail Address Cily Slate2ip Phone <br />,�l k'! <br />Eleclrical <br />G�L�GI/2iL `�8���(' I?J S' NvJ Si� <br />�, �,�c�y C �� � � ��� <br />Stale License Number <br />Proposed Use af Building <br />Mail Address <br />Ciry <br />'�tzloec��rt l�✓<< 993t37 <br />State/Zip Phone <br />C�'�`3��59 zovv <br />� � �,�. ._ <br />Contract Price of Work S`� �F,K„r�„�� <br />/�Crirc- �L'i,�3y z>3 y�s =E,�� <br />Conlacl Person (Plan Review) <br />Descriplion of Work lo Dc Done: �1'1 � O �cl '�Q�h� !;/i iE '��' �1C'W 7�-hrh �� <br />��_7�C�� <br />NOTE: WIRItJG 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 and examined fhis <br />U�e <br />comply <br />0 <br />ation and know the same to 6e frue and <br />this fype ol work will be completed <br />does nol presumo to give authonty fo <br />� law reguleting consfruction or the <br />� o�vner o/ fh�s property to pedorm the <br />State Contractors Law 18.27 RCW and <br />r, <br />FEE <br />,��Boz-«� <br />