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ELECTRICAL PERMIT APPLlCATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-25%-8857 — www.everettwa.org <br />APPLICATIONS ARt ACCEHT�� FROM 8 AM TO 4 PM <br />�� �� C= G7�c�'Fr!' iLra�,� / L��N-. <br />PROJECT ADDRESS <br />i:..�c:.�2�,/�EL7v �/�� �� r�V�' �`F Ef�2-vZ.C-%r ,�%i/%l-�- l:,/%�_ Esllc7{�� lc�i l��`"�=c.J <br />Owner Mail Address Cily Stale/Zip Phone <br />//-u�c <br />Mail .4ddress <br />Ciry <br />Slate2ip <br />Phonr. <br />yLj <br />�R�l �iG,n� S�vd\iic�s' IC,��'.�. i��i>fz�.( c�,�'�i- 1-h�� , �ia���Gz�-�� c.r-Y 33-y,6,, <br />EleClriCal Conlractor Mail Address City State2ip Phone <br />�,/'TSiJ"� 9 ic .�� <br />State License Number <br />s�.�r�cr �' <br />Proposed Use of Building <br />J�� o0 <br />Cortract Price of Work <br />� t,�,e <br />Contact Person (Plan Review) <br />Descriplion of Work to Be Done: .SGvq r SlC,:l�S °n� /���-E ' f%i o� i�*� �%�t� f' `• ''' <br />% � .��i ]�.aa ij; �-� J /?crTZi,<� f(6.ri %7� i!.(/i7.OLc . <br />NOTE: W IRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />certily (hat I have read and examined fhis applicatron and know fhe <br />Al/ arovisions o(laws and ordinances poverning this tvpe ol work w <br />06 <br />e to 6e frue and <br />completed <br />✓e authority to <br />fion or the <br />o peAorm the <br />8.27 RCW and <br />FEE <br />G Q(�o�--00� <br />