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� � <br />ELECTRICAL PERMIT APPLIC�4TION <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 />.-� �// /7'�-�,rt S� /� <br />PROJECT ADDRESS <br />c� -n1 W �} I K <br />�N'fl@f <br />Tenan! <br />`� c.� �'L4 rZ <br />Electrical ContraC�or <br />State License Number <br />��.�� <br />roposed Use a( Building <br />Description of Work N �e Done: <br />�.� I � Z �f/P �E' FY <br />Mail Adtlress <br />Mail �ddress <br />Mall Address <br />G1��2�- ADd�� <br />2 � <br />Cdy <br />Cily <br />Cdy <br />,,....lu-/b <br />C �ooi��36 <br />�� ��{ / 0 � / <br />Slalell_ip Phone <br />Slate2ip Pnone <br />Slate/Zip <br />�Conlracl Price ol \Nork <br />._�-._ <br />� o,,, ��� � ;�5..., <br />Conlacl Person (Plan Revie�v) <br />Phonc <br />NOTE: WIRING IN NON-DW[LLINGS IS REQUIRED i0 FEE <br />d[ IN RACFWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 he�eby certi(y fhaf 1 have read and exarnined fhis applicalion and kno�v fhe sanre lo be Itue and �l Uvr — v� <br />corrCcl. All provisions olla�vs and ordinances Uoveming fhis fype ol work will be cOrnp!efad J � <br />whefher specdied hcrein o� noL The yranfing o( a perrnd docs nol :!nsumr. to give au(hority fo <br />v�olafe or cance/ lhe p�ovisions ol any o(her s�a�e or local la�v rc�ulnting construr,fion or Ihe <br />peAomtance of construcfion. Thaf 1 arn aufho�ized by fhe oivner o! flus property fo perforrn fhe <br />woik lor which applicafion is made and I cornply wilh (Ire Stafe Confractors La�r f8 27 RCW and <br />/ � <br />a��, G���„� -:�.:. <br />