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ELECTRICAL PERMIT l��PLICATIaM <br />Cil'Y OF EVERETT PEFtMiT SERVIC�� <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8610 - FAX425-257-8857—www.everettwa.org <br />APPLICA770NS ARE ACCEPTEO FROM 8 AM TO 4 PM <br />��O'� St �!� M�-s- �,� � �a <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />�C�� r�S�,; cWs <br />Eleclrical Contrector <br />�2>GE� <br />Mail Address <br />�4a2 � <br />A:ai! Address <br />6��_s <br />Mail Address <br />� �� c,r�a S � �6n��. — <br />Slale License Number <br />� <br />����- � - <br />Proposed Use af Building <br />Descnption of Work to Be Done: �_� � <br />`iQSiiil <br />Ciry <br />Ciry <br />Slate/Zip <br />StateZp <br />t-Sc�-S� <br />Phone <br />Ctos�3"L1. <br />�€o5L �-1'Ls-k�s-(��o <br />Stete2ip Phone <br />`� hoo <br />Conlracl Price of Work <br />/��_4� �,,(�'� 4�5-�1�--� <br />Conlact Ferson (Plan Review) <br />� lC'i� l`�e:�_� iJ�Q7�6i1_ �7�G,nS1 <br />NOTE: WIRING IN N(�N-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX COI� 19 J105 <br />I lierebvi cerh'lY that 1 have read and examined this appiic <br />is <br />alion and kno�v the same to be true and <br />�his type o/wbrk will be complefed <br />does notpresume to give authonty to <br />law regulating construction or the <br />owner al fhis propeRy to perlorm the <br />Slam Contrectors Law 1827 RCW and <br />FEE <br />S <br />CC%( <br />