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V�-.2i. 2�i13 3:57FM <br />�^ �. ) <br />`:'. IVUJ <br />ELECTRICAL PERMIT APPLICATION <br />C1TY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8010 - FAX 425-257-8g57 — www•everett�Na.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />q Z � '► ►'G�.t� �I i�v f� �/ � S?-:� ( <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Electrcal Conlrector <br />Mail Addresa <br />Mall Address <br />�dall �ddress <br />C�1N�AMNqo►t�G <br />State License Number <br />Praposed Use of Building <br />Descriplion af Work lo �e Done� <br />��N <br />Ciry <br />City <br />Stere2lp <br />Slete2tp <br />Stale2ip <br />� � Q / � <br />Contract Prica of Work <br />Canlact Porson (Plan Roviow) <br />__�. � <br />Phane <br />Phcne <br />��o �O <br />Phone <br />NOTE� gE��N RAC W YS MC OR AC CAB EUIRED TO <br />CITY OF EVERETT LOCAL SALGS TAX C��E IS 5106 <br />� nambv r.ortilv thaf I havo road anA examined fhis apP�ica(ior,ond <br />to Oo true nnd <br />ompfotod <br />� aufhority to <br />orcanco�mvN,��p��,�� �� �,v �,..„ �.-._ _. .___.._ <br />�anco ol construchon. Thaf I am authonzoU 6y fho on�ner o/ fhis pmperty fo pa om7 e <br />,.,.�h��n nnr,6r.allon is msde vnd I complY wlth the Sfata Confrac(ors Law 1827 RCW and <br />FEE <br />� �. �� C <br />L ' <br />t «�; �� _ � � `f <br />