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ELECTRlCAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />I��� S' E G�f�-'n�t-� r ml�-� W"lay� �J�_'C=i � r�, f� �g;?��s <br />PROJECT ADDRESS <br />G�j do,J �ct�C�l��� ��� <br />S lC-� t)=R�i CDYVI �'(�V�11��—. s� UIT� Sciv /�'�i�%�'G� i <br />Owne� Mail Adtlress Ciry <br />�(`�U� -F -Fi'�'.�S <br />Tenant <br />r z Ht�? 4'� r_� <br />Mail Address <br />Electrical Contractor Mail Address <br />N- � `9?G<<' oV <br />State/Zip <br />P�. wF}SN/lu��v�� ril'f �!o$� <br />City S�ate2ip <br />SLLIA� ��i% I ��-�i- M `i' _ <br />State License Number <br />� (�"��—1 1... <br />Proposed Use of Building <br />City <br />Phane <br />� <br />SrG 2tr� : <br />Phone <br />.:}--'—j . <br />> <br />. � �::. <br />S�ale2ip Phone <br />��i(�G%� ..uC7 <br />Conlrect Price of Work <br />�N I�SI?r'i-C�vi� <br />Contact Person (Plan Review) <br />Description of Work to Be Done: I iv` i�iL�«} I'� C�n� U� Y=-C-LI -�' � i�� �"��� S�� IL'�l <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RAC[WAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3165 <br />1 <br />read <br />is <br />fhis application and know fhe same ro be true and <br />govemrng this (ype ol work wil! be comp/eted <br />�l a permd does not presume to give authonty to <br />ite or local law regulafing cons Wc(ion or the <br />ized by fhe owner ol this property fo perlorm the <br />'v with the Sfafe Contracrors Law 18.27 RCW and <br />FEE <br />\/ (%� <br />�" � <br />� ('l <br />-'; ��� 30 <br />� <br />