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ELECTRICAL 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 />PROJECT ADDRESS <br />SD/I ChU_vc_(" - V/3� <br />Owner Mail Address <br />Tenant Mail Address <br />((Jl4 Cc) TZ igeq <br />Electrical Contractor Mail Address <br />Calf cv Y7 a A3 <br />State License Number <br />a a rcjl� <br />Proposed Use of Building <br />{ d� era z J) VC <br />City <br />Description of Work to Be Done: ( -LSt/kr-r-- PLjcl I-e- <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 hereby certify that I have read and examined this applic <br />correct. All orovisions of laws and ordinances aovemina <br />or <br />City <br />(Jill <br />State/Zip Phone <br />State/Zip Phone <br />/r TLS UA— i <br />City State/Zip Phone <br />'3Pao . °rJ <br />Contract Price of Work <br />Contact Person (Plan Review) <br />a <br />and know the same to be true and <br />ype of work will be completed <br />not presume to give authority to <br />,egu/acing construction or the <br />er of this roperty to perform the <br />Contractors Law 18.27 RCW and <br />-,2F, -6 <br />FEE <br />140 <br />