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ELECTRICAL PERMIT �►PPLICATIt�N <br />CITY OF EVERETT PERMIT 3ERYICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-8857—www.everettwa.org <br />qPPLICAT10N5 ARE ACCEPTED FROM 8 AM TO 4 PM <br />" �n '�7; : lei�: r� .� ;� <br />PROJECT ADDRESS <br />�f-a3-o� <br />�=z��u-i�a6 <br />. i,l ; .� '.: �- . . /`.'::., i'✓ � �.�_��.'� � i , : - , , J,� .- � �:' l <br />"L.r�r� / .� .:,:t. .. _ - <br />Owner � MeilAddress � � ..CNy Sfat�p� . Phone <br />c' I 1_ <br />Mail Adtlress <br />f: <br />Cily <br />� �,'i i'O ' � . <br />SlalefLip Plrone <br />1� �,1 � ! ,, � /,. <br />�' < < i�"� l , .,f�, , �. �; Il�,, r ��. ;�, ,;, :,��„�� <br />Electrical Contraclor Meil Address Gry StatelZp Ph�e <br />i�l �'i;�_Ni ci,j,;n�� <br />Slate License Number <br />r.. ......,i <br />Proposed Use of Building <br />,r /L �� ' <br />Contrdct Price of WorA <br />J� ,. � �-ci: •�r,v <br />Conlad Person (Plan Review) <br />Descriplion oF Work to Be Oona: ' - "' � ` ` � � � � "'' �"' � <br />J <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACSWAYS, MC OR AC CABLE. <br />CITY OF EVERETf LUCAL SALES TAX CODE IS 3105 <br />y certify lhat I have read <br />. AIf pmvisions ot laws � <br />�r specdied herein w nof. <br />or cancel the provisbns <br />and <br />this applicafion and know the same fo De 5ve and <br />goveming Ih�s type olwork will be complefed <br />�(a permd does nnt presume to give authorrty 10 <br />rte or local law regulahng tuns Wcfion or tbe <br />ized by fhe owner of7his properfylo p_wform the <br />n� w;rn the Sta�e Con�raclors Law 18.27 RCW and <br />FEE <br />�a2�`J� -; L� <br />