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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREl-f, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />lj0i) .'�Lf IJ��1C�<v"I� <br />1��'�n;n :.,r,.krrr,t� /Y57; �ilr!);�/�l�r �"WFt <br />PROJECT ADDRESS <br />,,�;� . ��:��,;�,�;�,r. <br />Owner <br />Mail Address <br />.1i <br />Stale2ip <br />' Z —�S -O� <br />�� � �/ Z —�(Y/ <br />Y�' <br />.� % }� <br />li` s. <br />Phone <br />Tenanl Mail Address Cify State/Zip Y� IS � Phone <br />,; 1� % <br />� r����iililli !. jj _I >'l.,_ � ii l� �S�!/�=� fz G %�%:Ji. / >_/ 4 i <br />Eleclrica� Contraclor Mail Ad lress City State2ip Phone <br />lL;7�l�If /Y7 L�' <br />Slate license Number <br />S/� %L- <br />Proposed Use of Building <br />:.rf[ /� <br />DescriplionofWorkloDeDonc: �f T'/i1/i�+I �'�'���r-� i`i'� '/�l"� <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 />1 <br />296.200 <br />�rti;y that 1 have read and exarnined this <br />I p�avisions o(laws and ordinances gov <br />ecdied herein or noL The pranting of a <br />ancel the provisions ol any other stale c <br />;e o(construcfion. That 1 am autiio�ized <br />iich applir,ation is mr.de and 1 con;ply w� <br />i1 . <br />,� � ���_-- <br />Conlract Price of Work <br />ContactPerson (Plan Review) <br />and know fhe same fo be true and <br />ype oI work will be complefed <br />nof resume fo give authonty fo <br />eguPtina construcfion or the <br />er cl Ihis propedy fo perfonn fhe <br />Contractors Law 18.27 RCW and <br />� � �/ % iJ-;j <br />FEE <br />�( �. � <br />/ J <br />�' � �, <br />i —� ������ <br />