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ELECTRICAL PERMIT APPLI�ATIUN <br />CITY OF EVEFtETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APP! iCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />p�? - St <br />PROJECTADDRESS <br />��J 1�CT T r�.t��t_ w hY <br />., \ <br />�+.c:o� �tJSo'+�: , Z- <br />__ \ � ('�XLi �� j <br />Owner Maii Address <br />City State/Zip Phone <br />C1 A �.A,t � CAS11�10 <br />Tenant Mail Address <br />��ty Slate/Zip <br />..�� r.__ � a�3a-4� ��ti S. �`�o� <br />Electrical Contractor MailAddress <br />M6SpAc.�� �1rt o M�nl <br />State License Number <br />r, A� �,.��� <br />Proposed Use of Bwlding <br />Cescription of VVork to Be Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REJUIRED TO <br />BE IN RACEWAYS, MC OR.4C CABIE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />City <br />�a a�ar3ti <br />State/Zip <br />Contract Price of Work <br />Phone <br />a�3�ea3 <br />Phone <br />�<�/�C �c�t�K.�wA <br />Contact Person (Plan Review) �-G�, <br />�3�fo �i3�� <br />ceRiry rnar i nave reatl and examined this application and know the same to be true and <br />All provisions �l/awt ar,J ordinances governing th�s type of work will be completed <br />specired herein or not. The granting cf s perm�t does notp resume to give authonty to <br />nce of consPf u t�on nThat l am �a: tho zed by the owner o( th s propeNy tto peA rme the <br />vhi;h application is made and I comply with the State Contractors Law 18. 27 RCW and <br />WAC. <br />I FEE <br />�o9io-i/7 <br />