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ELECTRICa4L 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 - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />. . ' �c� ;�r', l�.l. <br />PROJECTADDRESS � i <br />� v. �. <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />City <br />Ciry <br />State2ip <br />Slate2ip <br />. ,. �7 �.. -� n,s-. <br />Phone <br />Phone <br />4.sve W�a� I���,�ola�,��s a�16 82.,J 1�� NE Fw.�c,-F4 1..�.A ��b�os 42s v�� cizd <br />Eledrical Contractor Mail Address City Slale/Zip Phone <br />I,LVEwwT 4� lKcr <br />State License Number <br />�u 1" <br />Proposed Use of Building <br />Contract Price of Work <br />Contact Person (Plan Review) <br />�escriptionofWorktoBeDone: :�.s:....'�i:: '_ ...�:- �:-�.. Rr Ai `'•.,�.�/ ' �.:._... <br />NOTE: WIRING 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 />1 hera6y certily fhat 1 have read and examined (his <br />cnrrect. All provisions o//aws and oNinances gov� <br />whefhorspeci�eAhe2inornot. Tlregrantingola <br />violale orcancel fhe provisions of any other sfate c <br />oeAomiance o(construcfion. That 1 am authonzea <br />'work lor which applicalion is made and I cnmply w� <br />296200 WAC. <br />7"I�-O j <br />FEE <br />3� <br />s to be true and <br />completed <br />�e aufhonty to <br />tian or Ihe <br />o peAorm fhe <br />'8.27 RCW and <br />� 05G7-06( <br />