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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 />APPLICATIUNS ARE ACCEPTED FROM B AM TO 4 PM <br />z� Z l 12A1�1 Eli f��J 6,�� E�T� <br />PROJECT ADDRESS <br />oW��� <br />i <br />Tenanl <br />Mail Address <br />Mail F�ddress <br />, ,, . <br />. <br />!�� <br />Cily <br />ct-�.�"- �-78-G3gc� <br />.�r� �,u�-.4�?oz� <br />Stale/Zip <br />State/Zip <br />Phone <br />rhooe <br />�N�� �E <br />Electrical Conlractor hlail Address Cily Stale/Zip Phone <br />% <br />Liconsc Number <br />Q�l,� <br />Proposed Use o( Buildinc� <br />Description o( Work lo �e Done: <br />Conlracl Prico of Work <br />Contacl Person (Plan Roview) <br />— Ca�c_� IS�tN WI/�Iv�� �cn— NEL.� AaJ�J(lo� <br />' AD� �!� ��n lt-c6��n �K i . l��v�� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />DE IN RACEVVAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />rcad <br />lam <br />and <br />fhis application end kno�v fhe seme to bo true nnd <br />govemm� thls type ol work will be completed <br />�/a pennd doos nof restmio to give aufhonty to <br />rta or local ln�r re�uPfing censfrucfion orthe <br />ized b}� fhe owner o( Ihis property fo pedonn the <br />y �ti�ith fhe Sfafe Contractors Law 18.27 RCW and <br />r <br />�c�� �;�ue,��� <br />Fv�iG�' -G�C, <br />q�� �, r;. h?n <br />�nex�i 3l,e <br />rr.. <br />