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ELECTRICAL PERMIT APpLICATION <br />GITY OF E`JERETT 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 <br />/ � <br />� ���� � ��, �, <br />P�20JECT ADDRE5S <br />��.� I%v�.�?�� � <br />�ir- � YG-T15 /o�� �.� -rc.� <br />Owner Maii Address City <br />� /� � <br />�� <br />Tenant <br />I�Sw1�JS�� <br />Electrical Conlractor <br />—. <br />Mail Address <br />Mail Address <br />�a�u C c't 2 z- K c� <br />Slate License Number <br />� � ��� <br />Proposed Use of Building <br />Descriplion of Work to Be Done: <br />I� � <br />���-,�. c.�A- <br />ST, L3� �� . <br />,' <br />State2ip <br />City <br />Zc� I��� ��-r <br />City <br />c� — �� �' <br />. <br />NOTE: WIRING IN NON-DWELLINGS IS Fi'c�]LIIRED TO <br />BE IN RACEWAYS, MC Uk AC CAI3LF. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />corre �y All p�/mv�sions ol laws end ordin <br />whetherspeci(ed herem ornoL The gn <br />viol�te or concel the provisions o(any o <br />pedomiance o/ consirucjion. 7bnf 1 arn <br />work (ar which applicatio/is made ond <br />296.200 WAC. � <br />, � � <br />State2ip <br />� <br />�:�-; ",'i- <br />; <br />Phone I <br />Phone <br />�y,au�� �-J�— R��� <br />State!Zip Phone <br />�/ CO�- <br />� SC� <br />Contract Price of Work <br />`y,�Gr�� `�I L' ���- 5 <br />Contact Person (Plan Review) <br />S�1C2L �—' i-,9�"-r � L <br />this applicalion and know the sam <br />goveming this fype ol work will be <br />�f a permd does not presume to gi <br />�fe or local law regulating conslruc <br />ized Gy fhe owner o/ lh�s property <br />ty with (he Stote Contraclors Law 1 <br />� /J <br />FEE <br />e to be true and /�� `� <br />compfeted G I �.) V� J <br />ve authonty fo <br />fion or fhe <br />fo per/omi the <br />8.27 RCW and <br />/� � <br />