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ELECTRICAL PERMIT APPLICATION <br />C17Y 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 <br />�0��� 1 ��.r���_�����, <br />PROJECT ADDRESS <br />� , <br />Owner <br />Tenant <br />\ \� <br />,:_j�-� v�. �-..� t � �cc � C. , �7.�� �� � <br />Mail Address <br />Mail Address <br />1 �, ,-... � -.�N,� .� __ <br />Electrical Coniraclor Mail Addres=_ <br />.__..,., - ' I ..L. 1. <br />� �__. t- , � 1 \ O � r' <br />Stale License Number � <br />� �-�Y� <br />Proposed Use ot Building <br />J L-V� <br />Ci�y <br />City <br />�c_U�-bi � <br />Cily <br />State/Zip <br />Sta(e/Zip <br />�i �,a, <br />State/Zip <br />Phone <br />Phone <br />��I:d� %iCf;.� -� - <br />Phone <br />Contract Price of Worh <br />���u: t�.��� ��`� � � <br />Contacl�'erson (Plan eview) <br />Descriplion o( Work to �e Done: ��.� •• � t:_ � 1 )��� ,�� � �� ✓ �\'�7'��� 1..,� � �n , `� �' � ��� � L ` <br />����,,,<� , r•:��,A�� <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I heroby certily that / have read and examined fhis applicafion and know the <br />conect. All provisions o/la�vs and ardinances govemmg this type of work w <br />u-hefher sper.ilied hercin or not The �ranfint� o/t� pennd does not presume <br />violate or c�ncel the provisions o( anv other stafe or local la�v reoulafino cor <br />FEE <br />s to be Inie and <br />completed <br />�e authonty fo <br />fion or the <br />o perlomt fhe <br />827 RCW and <br />,�,�, - <br />S�� <br />� <br />