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ELECTRICAL PERMIT APPLICATION <br />CiTY OF EV�ERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, 1NA 982�1 <br />425-257-8810 - FAX 425-257-8057 — www.everettwa.org <br />APPLICATIOnS ARE ACCcPTEp FROM 8 AM TO 4 PM <br />?Ft0 EC ADDR SS L��f �� � a`� \-� <br />� � a ��� � <br />�,00y_Do <br />���� Skr�,%i(�2. 1n11c �t1Slo1 �4 ok(,� <br />CD�N��`'��+�� ��k� �c. ' <br />OWner MailAddress f,ity State2ip Phone <br />Tenant MailAddress city State2ip �25, �n' n3293 <br />Zl3v� lol��-� � <br />�lec,�k�c Gle�k-ric.._lnc. Lynn�aod vJ� qau3e <br />E�eCtriCal Conlractor Mail Address Ciry State/Zip Phone <br />�I.EGTE l 25�M �-�- <br />Slate License Number <br />iomme.�c.i�.� <br />Proposed Use of Building <br />�2(o00C� �o <br />Conlracl Pric of Work <br />Conirct Person (Plan Review) <br />Description of Work lo Be Done: �(Q�`U�R., ��l► ��C-C�"�`� `�Ll� GLV\f�C '�L( C� Q.`� M <br />�i,� (��.� �r�tY�VY�P f�� ti�(Ut��,�(� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />read and examined this <br />Iho <br />and know the same to be true and <br />ype oI work will be comple(ed <br />� notp resume lo give aufhonty fo <br />�egulafing construction or fhe <br />erol this properfy fo perform fhe <br />Contrac(ors Law 1827 RC W and <br />21lb <br />�0� `�_ ooS <br />