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ELECTRICAL PERMlT ApPLICATION <br /> CITY OF EVERETT PERMIT SEFt`lICES S�S --��7 <br /> 3200 CEDAR STREET, EVERETT,WA 98201 �a9Ds I <br /> 425-257-8810 - FAX 425-257-8857—www•evereltwa.org --d� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PIII <br /> $53� �ve�reer+ w�y , �� .� <br /> PROJEC7 ADDRESS <br /> JPMoro,�n 85�v �ve�ra�reen Wr�u�� S tye �4 � �veYe-1+1eRw�� ��2:� �hoM <br /> Owner IAail Address <br /> MailAddress Clly Slate2lp �ha�1��' <br /> Tenant b <br /> N�aV�Y�nk SLt� S � C�w�n s� � SeU�le vu�� ���►S <br /> Clly Slale2lp Phona <br /> Electrical Conlractor Moil Addross � <br /> N�TV�Pc1�llrvDF �� � � •0 <br /> Contract Price of Work ��p'�'�� <br /> Slate Licanso Numbcr .�de �dwavdS � �� <br /> Cantact Persan (Plan Review) <br /> Proposed Uso of Buildinc� <br /> DoscflplionofWorklo�oDono: �mb o�F un�ervlceab►e CGtib�e Ur►� ���`� "' <br /> n�ew CG��e CGb� <br /> NOTE: BERN RA EWAYS MC OR AC CAB EUIRED TO <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> coBactY All provisions olW�s u d onlinancos�ovo p�ig t7�s typo cl�ork�ill bo compfofed and <br /> �vholhor spocJied hereln or noL Tho granfing o!u pornuf doos not �os�mo to givo aufhonty fo <br /> vio/o;�or cancol�ho pravislons o/any alhor s(ato orlocal lavi rogu�hng consfruction or(ho <br /> pedormanco ol conshucf7on. Thal 1 am auPoonzod by 1Ho ovinor o!Ihis proparty fo podoim f.he <br /> 2'J�6 200WAC appGcafion!s moCu and I compfy wilh fhc Sfata Contrdclo�s Laei 18.27 RCW nnd � / � Q�- <br /> � > <br /> ���-�- sl 5��°I <br /> Slpnatu:e <br /> Dalo <br /> ✓��llb`1oFil���123 <br />