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ELECTRICAL PERMIT APPI�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA y8201 <br />425-257-8810 - FAX 425-257-8857 — ww�d.everetnti�a.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />�l O�- � l- r'-v.�:_�il �L1k11 i��.,�� Cc,rt� �. c�� <br />PROJECT ADDRESS <br />Owner <br />Mail Address <br />City <br />StatelZip Phone <br />•-� u-,:.Y Y:k G i=t��c <br />..,.� C:, 1c • �04, .S.C� L'✓1.-c{� Atni� On µ-� i F'�nP <br />Tenan Idail Address City State2ip Phone <br />ElectricalContractor � MailAddress <br />! i1 �_ ()� S t cJ`�.C�}� l� <br />State License Nimber <br />/�P�rn I..! -i ..1 � <br />Proposed Use of Building <br />State/Zip Phone <br />� c`cY) . _"', <br />Coniracl rice of Work <br />��i l�l N.�,41 1.�1i��`��O ��f <br />Contact Person (Plan Review) <br />Description of Work to Be Done: �n i f�iR� c:,� G� 6¢• �� � q/4 (;-�j x, ,Vt�u ('�kdt , <br />i <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 � <br />read and examined this <br />or <br />iow the camo to bo true and <br />wodc will be compleled <br />esume (o give authority lo <br />_._ __�_.., _ . . <br />�vor or w�c i app icat�on is mado and I comp/y wifh the Stafe Confractors La�v 18.27 RCW and <br />296.200 WAC. <br />