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ELECTRICAL PERMIT /�PPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREl-i, WA 98201 �- I�-l'3 <br />425-257-8810 - FAX 425-257-8G57 - www.everettwa.org �/3 �' �� j <br />d <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />1 � <br />��-I� �� �.��-ll- � <br />PROJECT ADDRESS <br />�.,,. , I�; <br />Owner <br />�� .� �� _�i,il ,' <br />Mail Address <br />Tenant <br />� � � <br />i-�� i ���_ �>;'f V l <br />C-lectrical CoNractor <br />�� �" I � r � i"7���� % ' <br />Slale License Number <br />Proposed Use vl Buildiny <br />tdail Addiess <br />hlail Address <br />� <br />F` r1; !�, . <br />City <br />Description of Work to Oe Done: �j,r� t'•^ �' � /-� � <br />� r <br />"1... , 1- _,_ �.�t ,�� v c � <br />NOT[: WIRING IN NON-DWELI.INGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />City <br />City <br />_, y , <br />StatelZip <br />Stale/Zip <br />�,. �'�� c./�7 <br />Slale2p <br />Contract Price ol Work <br />Contacl Person (Plan Review) <br />CITY OF EVERETT LGCAL SALES TAX CODE IS 3105 <br />e read and ex,�rnined this ap�Gcation and kno�v fhe same (u be (ruo end <br />fa�v� and or�uiances governuig this type of �rorlc will he r,ornplefed <br />or not The �ranhng o( a perrnd does nof n�esumo to give airtheriry ro <br />risions o/an}� other state or local la�r regulatinq cunstnichon or fhe <br />fion. That I am outhonzecl b}� fhe onner oI this properi}� to perform (he <br />„;� ,n:,d� nnd f conuilv �vilh fhe Stafe Con(rac(ors Law 1827 RCl4� and <br />�., <br />fEE <br />�j S.00 <br />Plione <br />Phonc <br />Phon�� <br />� � - �;" � <br />� '�' � � <br />