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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 />l 0 �� W�� <br />PR JECT ADDRESS <br />Gl�� l%tC'4% C--' ��nv� °� <br />Ovrner <br />Tenant <br />�G t--1�-5 ��P!'�, <br />Afail Address <br />A1ail Address <br />EleCtrical COnlraCtor M1fail Address <br />��������� <br />Slate License Number <br />�N�IfL� <br />Propused Use of �uilding <br />Oescripuon o(lhbrk to �e Done: <br />r✓� <br />�� L <br />City <br />City <br />asv�e �. <br />NOTE: WIRING IN NON-DW[LLINGS IS RE�� ��R[D TO <br />OE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />certily <br />�111 p�u <br />the <br />WAC. <br />read and ezamined Ihis applicafion and <br />nvs and ordinances �ovenung Ihis type <br />r noL The granfing ol a perrn�! Joes nof <br />ions ol any ofher sfafc or localla�v regu <br />w. ihat 1 am authonzed by fhe o�vner o� <br />is�made and I complV,tvifWfhe 5(afe ;or <br />Cily <br />Gic��f <br />State�Zip <br />i a-ia -i� <br />Gl�IZ--0%Z <br />� <br />Phcne <br />State2ip Phone <br />� <br />,,�, // ��o-.�- <br />�, S/�i�1l.op¢��'�/%� 08"3S' <br />Slale/Zip Phone <br />9��.z <br />ac�o �= <br />Contract Price ol Work <br />Conlact Person (Pian Reviev+) <br />� �� <br />iar fhe same tu be (rue and <br />work will be completed <br />esumc fo give airthority fo <br />ing construction or fhe <br />iis properfy fo pedarm fhe <br />�cfors La�v 18.27 RCIN and <br />FEE <br />IO�- �v <br />�f IIZ-b72 <br />