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p. l <br /> — – -. - � <br /> 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•evereriwa.org <br /> APPLICATIONS ARE ACCEPTED Fi20M 8 AM TO 4 PM -DEBIT S CREDIT CARDS ARE NOT ACCEPTED <br /> 3oa� Rv��ckti y2s <br /> PROJECT ADDRESS ?j 9 <br /> . 52�� <br /> 1/UDek/uU'(� HK�;�" �� 3a.tY' /It�Ctt�/•. {+`3uf FiCi w,E �f?�'I Phone <br /> Ciy siatelLp <br /> Owner Mall Address <br /> ��, State/Z1P P�one <br /> Tonant Mail AEdruss _ y�� <br /> �r�k'�j G��t 9�aei <br /> �q2�/ <br /> lL�'C/fNl9tila ItJ 36�( EIIbA/c7` �V ary sucerzio Phone <br /> Eleclrical Contrector Ma�l Aec�res� <br /> /o�.� <br /> ��'�./1 +V 1-��Yz L�� Ccntract Price ot Wor!c <br /> State License Number <br /> CcA1�Crlti�/�( ContactPerson (PlanReview) <br /> Proposed Use of Building <br /> Descriptlon of Work to Be Done: ✓11 f1C �E+iW �/LX G'�K� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br /> FEE <br /> BE IN RACE�NAYS,MC OR AC CABLE. �,/� �� <br /> ! <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> corrs�Y A��Pro��sionh of laws and o d nsnces 9ovemPngeh s�type o7 work will De completed 2nd <br /> v o aieeor cancel fhe prov sions ol any other 9tate oiBo I I aw reguPtre g c nsttistlon ohthe��� <br /> peAormance o(co�s�tnf o�os.m8de and I comptye�th the Stale Cont actorsPLaw 18P27 RCN end <br /> work for which appl <br /> 296200 WAC. <br /> �l � �� � � � <br /> :te <br /> ignaNre <br /> � � � ' � U <� I <br />