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ELECTRICAL 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 />�� ��-vvc/ <br />0 409.��-S <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />� � �Z / �� � t� E � �Y �'G> <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />�(� Z-Z I LGL 1 hCf <br />Mail Address <br />�----- S <br />hlail Address <br />� i� �.! 7!/� K—l�- / L'� � <br />Conlractor Mail Address <br />�1,1��'r)u�F1 r'�:z � u' <br />9�a�e License Number <br />I/\.��i �CLC-rt 1���_.. <br />Praposed Use a( Building <br />Descriptior� of Work to Be Done: <br />� `> <br />), <br />NOTE: �VIRING 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 />All <br />� <br />Ciry <br />State/Zip <br />---- -. __ _ __ <br />City State2ip <br />z5 �- <br />Phone <br />Phone <br />Ciry SWte/Zip Phane <br />' Gl <br />Fr�u � <br />Contract Pnce of Work <br />Contact' son (Plan Review) <br />"hat 1 have read and examrned this appiication and kno�v the same to be true and <br />n-isions uflaws and ordinances goveming this type o( �.vork �vill be comp(etetl <br />ied herein cr not. The granting o/ a permd does not presume to give authority to <br />el the provisions ol any other state or local /aw regulating censtruchon or the <br />1 consrruction. That / am authonzed by the owner o( this propeRy to peAorm fhe <br />applicatior. is made and I comp/y �vdh the Slate Contractors Law 78.27 RCW and <br />� <br />FEE <br />� <br />�oo' � ��Z� <br />qb <br />