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ELECTRICAL PERMIT APPLICATION <br />CITY OF E�/ERETT 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 />i z i sc- c.`�c-ec-�- �u►a�L v.�.a�r , s �� � <br />pRn.iF�T npnaFsc <br />� � 1� l_S Ol�1 L[_-•-G�'L-� <br />Owner Mail Addrass City Shla2ip Phone <br />0�..-�c�v.n« G-�� 1UC3 �ZI 56 E�C-e13� l'ia'L` ,(,�+�'( E�.�cE.�. V�t1 <br />Tenant MailAddrass Chy Shta2ip Phono <br />�li�� .S�LT,� � /"1wA,��lli�r IOL�.I.I� �.�r.Oli.i F�ii S SG�}'!�-� �1Clj -!(J���G <br />ElectrlcalContractof MailAddrou City SWtelZip Phons <br />'Z �(o 'i(.•1 Z 31 �( <br />�� Ep�.r S5 A 9 3(.� 3 I <br />State License Number <br />(ZC--�1 il_ <br />Propo<_ed Use of Building <br />N � 'J~Q '•J <br />Contract Price of Work <br />M�A�vq 5'rL-� <br />Contact Person (Plan Review) <br />Descdptlon of Work to Be Done: ('� �L U� t�.� U J1 L.��� 'Tt% PC'u Mla��1 <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 certily thet 1 heva read end examined this epplicetion � <br />correcf. All provisions ol lews and ordinenres govemmg this ry <br />�vhetherspecified heroin ornoL Tha granting o(e peimrt does <br />violefe or cencel the provisions ol any ofherstate orlocel lew r <br />performence of consfrvction. Thet I em euthonzed by the own <br />work (or �vhich eppliceNon is mede end 1 compfy wifh fha Stete <br />196.200 lM1l1C. <br />know the seme fo be W e end <br />o/�wrk will be completed <br />presume m give nufhonry to <br />G'7 <br />end <br />FEE <br />,%(�'`s� "`�%���, <br />