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EL�CTRICAL PERMIT APPLICATION <br />CITY 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 />� � f'L� �c` ,,;, �r,GU�TZ,-,, �//CaJ / ���c� <br />PROJECTADDRESS <br />Owner <br />Mail Address <br />Cii <br />City <br />_ �aa .0 6 <br />State/Zip Phone <br />5�,�� �/i � ��na� �u���ff 9�n 3 <br />Tenant Mail Adaress Ciry S;ate2ip Phone <br />Electrical <br />Mail Address <br />� SI• <br />��!,'�f� ��1 _%�G <br />City Slate/Zip Phone <br />l'G ^/iiY�� �yG�'Ll `"�.SQ'� <br />State License Number Conlract Price of Work <br />�P f f-f L 1�v,��S ��l�c �(, � 7- �//C <br />Proposed Use of f3vilding Contact Person (Plan Review) <br />DescriptionofWorktoBeDone: �7�([(Z((�fC S�'(�J��L /n /�li7l�JlYl /1c�Jca��f �urn Sllp�c 70 /��.!'] <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 a105 <br />certily fhal I have mad and <br />All prowsions ollaws anAc <br />specilied herein or not. Th� <br />�cance/lhe pro�isionso/a� <br />inco ol conslrucfion. That 1 <br />wbich applicalion is made a <br />Ihis applicafion and know tho same fo be true and <br />goveming this type o/ work will be completed <br />�/ a permd does not naswne to give aufhonty to <br />ate or local la�v reguPting cons6uction or the <br />ized Gy fhe owner o/ Ihis property fo pedorm fhe <br />�v wifh fhe State Contractors La�v 18.27 RCW and <br />FEE <br />���� <br />