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( <br />( <br />ELECTRICAL PERIIIIIT APPLICATIOIV <br />CITY OF EVERETT PERMIT SER�'ICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 •-www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM E.4M TO 4 PM <br />o2S b � �il/csl �f}�l �U� !Jf- �:�vtJ Y(..�'�, <br />PROJECT ADDRESS , <br />1� fs o c� �,r�,., � <br />i� a b�'i..n � d)D� n� ` t,� e`� I—„n_�-�r�} v� Se� �— �-- � <br />Owne� MailAd ss City State2ip <br />� <br />Tenant <br />�-IR�p��C <br />Electrical Coniractor <br />U � �lGV i +'1�• V .�Yv � <br />Mail Address City <br />� -�,',G �i� S%vcti� <br />Mail Address ily <br />fl�l � ��. 1--- <br />S ate License Number <br />� 5��� � ' <br />Proposed Use of Building <br />�U-1_"1 2� � <br />Square Footage (Ii residenlial new consiruclion, remodel or addition) <br />Description of Work to Be Done: <br />� ��lU�c.c <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 />I have read and examined this application and <br />ns ollaws and ordinances goveming fhis type � <br />erein ornoL 7he aranting o/a pemtd does not <br />�C� �/ �- � � . �� <br />Slate2ip Phona <br />Slata2ip <br />� �rU U <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Phona <br />FEE <br />s fo 6e true and � f� v— pl Z <br />completed <br />�e aufhonty to <br />!ion orthe <br />o perlorm the <br />8.27 RCW and <br />� I � <br />1 <br />�S <br />