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ELECTRICAL P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES b _ �� �o � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org [ ��0� -�6� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �,56 � ��n�� ,�y��-� �1/� s�t�✓� <br /> PROJECTADDRESS � / ZS <br /> � �� <br /> f� C H u 11c:11� ��f���.�,����(i� ���1 ��j,�.�.n,n �,2�5� <br /> Owner A4ail Address Ciry Slate/Zip Phone <br /> Tenant Ma�l Address City SlatelZip J/�� Phone <br /> ��na������ r'�.� ���� ��� �� ��-�-G, �-� ���� <br /> Elecl�ical ConUaclo� Mail Address City State/Zip Phone <br /> �C��� �tl.SS �� 1- L/J SOv �` ` <br /> Slate License Number Contract Price of Work <br /> �lyU !�� <br /> Proposed Use o(Building Conlact Person (Plan Review) <br /> Descriplion of Work lo Be Done: P�zOV�(%fs/L �C/7� DU��,� l � � <br />� <br /> 1 NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> DE IN RACEWAYS, MC OR AC CABLE. �� �` <br /> c <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> !hereby certily that 1 ha��e read and examined this applicalion and know the same to be true and �V�V�' U U °z <br /> correr,t. All provisiuns ollaws and ordinances governing Ihis type olwork will be completed <br /> whether specilied herein or noL The,qranting o(a pernuf does not preswne to give authonty to <br /> violate or cancel(he provisions ol any o(her stafe or local law regulafing construc6on or fhe <br /> �ork lor whicN�ca��tati n�is n a'de and�l eom IZe�'f/fl�le Sfate Confractors�La v 18.27�RG�N'and <br /> 296200 WAC P� P y <br /> '( ' O <br /> ignature Date <br />