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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 /�—/Q J�� <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />C/0/2 ���� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�,� � �� If/�fDf50rJ �� C�Vf2Ell, �(%r%� ibo'�C3 <br />PROJECT ADDRESS <br />-z>3� <br />37� -3�% j � <br />S,Ca,,; �����-NT9�l,i GGeo /�2�oE�'�.'�/ ei �=���Cf/% I L�- 9e�3 � <br />Owner Mail Address Ciry Slate2ip Phone <br />Tanant Mail Address Cily <br />C'� J �U r � <br />Eleclrical CoNraclor Mail Address City <br />Slalo Licenso Number <br />Proposed Use of Buildin� <br />State/Zip <br />Slale/Zip <br />Contracl Prico of Work <br />Conlacl Person (Plan Reviow) <br />DescriptionofWorktoDeDano: J�S�rc�:c,� o� �'�o����l �;�1'i' y,�(a�n�•cJ� <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 have road and exarriined fhis application and kno�v fhe same fo Ue truo and <br />ns o/laws and ordinances �ovenun� th�s fype ol n�ork will bo comp/eted <br />�rein or nol. Tl�e c�ranting of a pernuf does nof �resume fo �ive aufhonty to <br />provisions of any ofhersfafe orlocalla�r rec�ulating consWction or the <br />�tn�ction. Thaf 1 am aufho�ized b}� the o�vner of fhis properly fo perfortn fhQ <br />cafion is ma{lo and 1 compty rvith fho Stafe Confractors Law 18.27 RCW and <br />�t-�'�� �Z �� C � � <br />FEE <br />Phone <br />Phone <br />C � <br />,. � ,� - �7� <br />