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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �_i �_� � <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www•everettwa.org ;� 1�� '%O 1 <br />APPLICATIONS ARE ACCEPT�D FROM 8 AM TO 4 PM <br />� 30 �'vU �reu-, l.la,, { � //G- <br />PROJECT ADDRESS <br />Owner <br />Gs <br />Tenant <br />Electrical <br />V�Gc ,E,�c ,��� Na- <br />State License Num�� <br />o F��rc �s <br />Proposed Use of Building <br />Description oF Work lo Be Done: <br />MailAddressSN�� X,�oU <br />� � S� / <br />Mail Address <br />Mail Address <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 />GTi <br />read and examined this application and k <br />aws and ordmances govemmg tbis type ol <br />r noL The 9ranting of a penmf does not� <br />�ions o( any ofher sfate or local law regu a <br />m. That 1 am authorized by the owner o/ i <br />is made and 1 comply with Ihe State Conf <br />� ���1 <br />Cily <br />City <br />City <br />State/Zip <br />l� zs' <br />y y3p�.1�7L <br />Phone <br />Sfate2ip Phone <br />y7�'• V,� _ <br />State/Zip <br />Phone <br />� <br />. f� r)cb . Ov <br />Contrac Price oF Work <br />S =� ��rS�— <br />Conlact Person (Plan Review) <br />iow the same to be frue and <br />work wdl be. completed <br />25ume to g�ve authonty fo <br />ing consfruction or the <br />iis property to peAorm fhe <br />ar.rors Law 18.27 RCW and <br />� <br />FEE <br />I 573�� <br />��Z�� � � � � <br />