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ELECTRICAL PERMIT APPL�CATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />S`� Zc� �Ccn�.rn � <br />PROJECT ADDRESS <br />� �a,� -ao <br />C�l�-�� <br />A� b �G�vv �1/�i'zc� r,�,a- y�15o3 <br />Owne� Mall Address City Stale2lp Phone <br />ienant <br />Mail Addre;s <br />Clty <br />Stata/Zip <br />Phone <br />ERG ELrr� ;Js22 k'l,�.IX.�L �lb '�302 H71cf16GT Gu�- �.Tri� �i'.�03G�33 <br />Electric3l Contractor Mail Address City Sbte/7Jp Phone <br />f nC�C..L 9(�S �/_,Ci - <br />State License Number <br />S�2 <br />Proposed Use of Bufldfng <br />Description of Work to Be Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODF IS 3105 <br />���%0 K' <br />Contract Pdce o� Work <br />C3n t��� 3o3aG�3 <br />Contact Person (Plan Revlew) <br />read and exam(ned thls applicatlon end know fhe same to be true and <br />iws and ordlnances goveming thls type of work wl11 be completed <br />r not. The 8rent(nB o/ a pertnit does not presume to glve authorify to <br />cions of any other state orlocallaw reguleting consWctlon or the <br />m. Tha' 1 am authodzed by the owner of thls property to pedorm !he <br />1� madn nnd I enmr.lv wifh thw Sfafe ConfrecfoB LeW 18.27 RC%i� BOd <br />FEE <br />�� pv$ - / 2cn <br />