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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320U CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8657 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />3 I� S E G v�-r��i" 6v��� I I w� <br />PROJECT ADDRESS <br />ObU3-Cz� <br />y►�1 �-. �-} 5 v,= a o 6- �36 - I17 7 <br />Owne� Mail Address Cily SWla2ip Phone <br />Tenant <br />Electrical <br />.'C ULII C. <br />Mall Addrass <br />Address <br />�c'_J'dV iJ C� i.'.QS L "� <br />State License umber <br />� <br />��r' /xti v� <br />Proposed Use of Building <br />Description of Work to Be Done: <br />ciy E <br />,Mc ���oo <br />NOTE: WIRING IN NON-DWELLINGB IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />r.r <br />J.s �.7- Pby7� 1�( � as-1 <br />'-�. Wfi- �f'�� � � < <br />ary swterziPyJ.S - �7L�-�'�^, <br />�IDG-ov <br />Ca�n r'act Price of Work <br />��d'�'�.�J �7JU16i�W� <br />Contact Person (Plan Revfeer) <br />b� <br />read and examfned fhls applicaffon and know the seme to be true and <br />�ws and ordlnances governing thls rype o( work will 6e completed <br />rnot. The granting o/a permit does not presume to glve authority to <br />;(ons of any other stafe or local law regulating consfruction or the <br />�n. That 1 am authorized by the owner of fn�s �roperty to perform fhe <br />is made and 1 comply with fhe Sfate Contrectors Law 18.27 RCW and <br />FEE <br />i c�c3-c�3 <br />