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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.everellwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />�010 UUzS � �Yl�itir��.�'., �/i c'n,) �r� v�. <br />PROJECTADDRESS <br />.6C'cLLL�Yj ���C �4�3`�G S2 /`C hu� SL�%i%'rL[! W�� ���4'��5 �i�S"Zi�2_/ I <br />Ownef Mail Address Cily State2ip Phone <br />'�r�i2v 4�Gt1 ����X U�3Z Nt� ��" Stil���f W� �!/S �-l>S-?1U'`tl��'� <br />Tenant MailAddress Ciry Stare2ip Phone <br />Y l / /� <br />/ rl 'fJ'"IC"�Qr� .!'+c l%3� ��ih.iA'�. 1��i�i L-vo�'C-T7 /.Jr7 G/S�)D�/ �i�S•75d-'>E> <br />Eleclncai Contractor Mail Address Ciry State2p Phone <br />, � ��' I// 9 <br />/ /,L'_E /�1 �f ? 71� vt L� i /� � � l`/ ,'J' .� � iD! `�i n <br />State License Number Contrad Pnce of Work <br />.f_� <br />}�rs; � �< t� <br />Proposed Use of Building <br />Descnption o( Work lo Be Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIREDTO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />� read and eaarnined fhis <br />la�vs and ordinances gov <br />or noL 7he qranting ol a <br />cel !hepro visions o/ any oflle� <br />olconshvction. Tlia11 arn au! <br />h application is rnade and I co <br />.. %. _ . _ _. _ . . <br />j` -_ ----' <br />r�cn��rs� S��i�� Kf <br />Contad Person (Plan Review) <br />�r <br />and knmr Ihe same �o Ge hue and <br />ype olwork will be complefed <br />� not p+esume to give authonty fo <br />�egulafino conshuc6on or the <br />er ol tl�is property to peAorm the <br />C�nlractors Law f827 RCW and <br />.Z � <br />FEE <br />�' �S� ��Z <br />FC��r C��—I 3c� <br />