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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR :'TREF_T, EVERETT, WA 98201 �`� Z�� <br />425-257-8810 - FAX425-257-8857—www.everettwa.org r/���� <br />L <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />y-iaS-A SF Fa3e,rci� w►all vJa`( _ <br />PROJECT ADDRESS <br />� <br />Owner <br />Tenanl <br />Mail Address <br />Mail Address <br />,tiv • <br />Mail Address <br />�ol�Yd� 11(�5 C�[" <br />State License Numb r <br />S� r ; a t �.,�� <br />Proposed Use of Building <br />Description of Wark to Be Done: <br />� <br />; v�c. Ln 1 <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Cily <br />City <br />StalelZip <br />Phone <br />Phone <br />�alelZip Phone <br />� �� <br />Conlract Price of Work <br />Contact Person (Plan Review) <br />� read and examined this application ane of v� oW lc�will be completed and <br />laws and ordinances governing this typ <br />or noL The granting o! a permd does not presume fo give authonty to <br />isions o/ any other stafe or local law regulating consWction or the <br />ion. Thaf 1 am aufhonzed by fhe owner o(thrs property to pedorm the <br />. ... ......... ....., � �,,.�.,i„ �„r�m m� Stalr. Conlrac(ors Law 1827 RCW and <br />Z`Jo1w vvn�.. <br />. . � �� <br />I . . ; <br />� _ <br />Signature <br />�` <br />-%G' <br />FEE <br />�J �6-0�0 <br />C <br />