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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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />/OSd'j Yk" /Ivc SF Evrre�'f Lt/� 4820/ <br />PROJECT ADDRESS <br />/�, l�.s,��2sc /oa a 2 yk' ,r�„� s� c,� ��< <„�r� 53� za l <br />Owner Mail Addross Clly Stale/Zip Phone <br />Tenanl <br />ElecMcal Conirector <br />5'T2EA�T 901 L.K- <br />State License Number <br />Mail Address <br />Mail Address <br />Gty <br />City <br />��� <br />State2ip <br />Slale/Zip <br />Phono <br />86 y � <br />Boo. 4 ��h0�t93 <br />,��� ��� <br />Conlract Price oi Work <br />Conlact Person (Plan Rev(ew) <br />Description of Work lo Bo Done: M�s1�c�� �d�A � Ua,i-l�. Nd�r1 � k i U/1 � Nr i nl "1s1� �� <br />(' (���/� �L4�-�^✓�o,n/� <br />1UI 'Q-7�IS� lN_t �/�VV l <br />J <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEW ^.YS, MC OR AC CABLH. <br />CITY OF EVERE7T LOCAL SALES TAX CODE IS 3105 <br />o: <br />1 bave read and examined this application and <br />ns o/ law� and ordinancea goveming this type <br />erein orr,oL The granting o/a permd Coos nof <br />law <br />710 be Iruo ard �1 � v�- � ZS <br />complefed <br />�e aufhonty to <br />lion or fhe <br />o perfomi Ihe <br />8.27 RCW and <br />� S 23 20/� <br />ignaWr D ix <br />