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EL�CTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� '-��{ -O 7 <br />�i � Z� � c> L.J }=� � L r� . <br />PROJECT ADDRESS <br />� A✓ i�. <br />oW�E� <br />Si� L L f-� ti <br />"al� nddross <br />Cily <br />State2ip <br />C�=O �d"1- �`i / <br />��Z�: �Z3 <br />Phone <br />Tenanl 6fail Address Ci�y State/Zi�J Phone <br />( Z� G)�' ��,�'ti <br />�.JJ �7 i c�M F.�[—�=G,�-� c � � `� �c� � i�-1 .�1�;= (,,..r <br />Eleclrical Contractor Mail Addmss � Ciry State2ip Phone <br />�%/L/�'�!`G✓Jl� (,,�t • <br />j 1.���,��—��S�zi ��= <br />Sla�cense Number <br />` �� . <br />� r <br />Proposed Use of Building <br />Contract Prica of Work <br />Conlact Person (Plan Review) <br />Descriplion of Work to Be Done: �)'� ,�--�. �U� /—� v'� J— <br />1 � � �lC-.� �A ,.i�2 � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, �iC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />by certily !hat I have read and exc <br />:L All provisions o/ laws and ordi� <br />er speci(ied berein or noL The gr <br />� orcancel the provisions o/any c <br />mance o/c nsirucfion. That I am <br />'or �vhich f3p licatipn is rnade and <br />00 WA%. <br />/ <br />% � <br />s�a� wre <br />,� <br />% <br />Ihis appli�atian and kno�v the same to b� true and <br />�oveming fhis type ol work �vill be complefed <br />�/a pe;md does .�ot presume fo give aulhonty to <br />�te or wcal law regu/ating cons;ruction or the <br />ized �y the owner o/ this property to perform the <br />y w'fh the State Contractors, Law 18.27 RCW and <br />J J <br />FEE <br />�e�c�-��y <br />