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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />y�b �-,-.��k r.,a �t w�.y �k 46� �ru. �. wh qgZoB <br />PROJECT ADDRESS <br />Owner <br />Mail Address <br />Ciry <br />Slale/Zip <br />�� �I��b <br />Gi0o3-�O� <br />Phone <br />tfaSea� ���ohol� �' �-a• 70b C��+�e�tY KAII W4.� JLL�K�91oo t'�"�^�'tt�V'K �6�og <br />Ten3nt A1ail Address Cily State2ip Phone <br />�b� <br />A'ZM �L�G,T(L1G l000z M�RoRA �� N. �b PMS �'�lSS .S�'ik. � %$/33 �o9-Yfe� <br />Eleclricai Conlraclor Mail Address City S�ate2ip Phone <br />A�'swt Et.�i. 9l Y /Z � <br />Stale Liconse Number <br />OFFrc� <br />Proposed Use of Buildiny <br />Description of Work lo Be Done: T <br />NOTE: WIRING 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 />y. 37S . �� ~ <br />Contracl Price o( Work <br />�DY M l7 A2A S — <br />Contacl Person (Plan Review) <br />y certi(y fhat / have rend and exnmined this applicat`�n and know the sarne to 6e fruo and <br />All provisions of laws and ordinances goveming tl tis f}�pe o( work ivill be completed <br />�r specified herein or not The granting o( a pernuf does not presume fo give aufhonry fo <br />or cancel the provisions o( any ofher s(afe or local law rec�ulafing consfruclion or the <br />vance o/ consfruction. Thaf 1 am authonzed by the mvner o( Ihis property fo per.*ortn U�e <br />ir which applicafion is mado and 1 compty �vith fhe Sfate Confracfors Law 18.27 RCW and <br />o3//d'�/O <br />FEE <br />