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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETi, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />'"J <br />/ r .� tc r�,.,: ��rr,«A (,✓,y -i-l3G <br />PROJECT ADDRESS <br />Owner Mail Address <br />STrti� .k �n.-�.�s /a- l�)�il�- l��rl i�r, <br />Tenant � Maii Address <br />Cily <br />City <br />Stale2ip Phcne <br />S/t�. - �i:i �] -% )V U <br />Phone <br />'f.ys- 3ol-J-3•f �- <br />.S C� �r � /r� �% G/�I� �s /�.( Nc /?� <i �:✓/k �(9os� <br />✓ � c a r. � �n F' � -� <br />Eleclrical Contrector Maii Address ciry State'Zip Phone <br />s��avr�rotc: r_ 1G`� /�'' v, r�oo.00 _ <br />State Llcense Number ,;j � Conlracl Price ot Work <br />\ <br />Proposed Use of Building Contact Person (Plan Reviow) <br />Descripliono(Workto6eDone: �=��^� u• � �+s-�'•�r��•�'o:, >�- ��`�� J�n�--�kr-.-c <br />/ G i �-✓:� ;, <br />� <br />NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS a705 <br />1 have read and examined fhis app'icafion and know fho same fo be true and <br />ns of laws and ordinances govemrng fhis fype o(work will be complated <br />arein nr nn[ The arantino o/ a oernut does not oresume to nive aufhonfy to <br />law regulafing construcGon ortne <br />owner el this property lo perform the <br />itate Contracfors La�r 18.27 RCW and <br />� -?-3-U� <br />FEE <br />� <br />� G7U5 -l�lS� <br />