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� <br />� <br />ELECTRICAL PERMIT APPLiCATION <br />CITY OF EVERETT PERM17 SERVICES ���`�� <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 —www.everettwa.org `C IU�U��7 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�ai �c �;�-�� n ��nR« c�:�� � n� 7 <br />PROJECT ADDRESS <br />Owner <br />Mail Address <br />City <br />Slate/_�p <br />Phone <br />��� C.la-I��RACTI� ,',�l Sr- �v�:��7-mn��. � �7� rve��� �.,A 982ckg <br />Tenanl Mail Address Cily StatclZip Phone <br />Conlractor ldail Address <br />Q�I�jT�S15�� bPC� <br />Slalc License Numbcr <br />��1rYX�lzC.1 �k_ / S � � �� <br />Proposr.d Use o�y <br />Dr.scriplion of Work to Dc Done: <br />NOT[: WIRING IN NON-DW[LLINGS IS REQUIRED TO <br />BE IN RACEWAYS. MC OR AC CABI_F. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 herr.by certify Ihat I have read and exnmined Ihis applir., <br />conecL All provisions ollaws and ordinances governm� <br />whefher specdied herein or noL Thc r�ranting o/ a pernuf <br />violate a cancel Uie �rovisions o! any ofher stafe or local <br />perforrnance o/ cons{�uc(ion. Thaf 1 am aufhorired by the <br />work fnr which applicafion is rnade and 1 comply �vi(h the <br />29G, 200 WAC. <br />Gity <br />�nd know the <br />ype o! work �v <br />Slale/Zip <br />y ��j �*,� <br />Contract Price o( Work <br />J�'-.9dl= R 13 r� <br />Conlact Person (Plan Review) <br />n <br />� to he frue and <br />comp/e(r.d <br />�e authonly to <br />lion or Ute <br />o perlorrn the <br />fi.27 RC,W and <br />Phonc <br />------- ------- — — <br />PlE <br />J� <br />El �-(�Ot-� — <br />