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ELECTRICAL PERMIT APPLICATION <br />CITY OF CVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 I�-�� -/D <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />C/Gi��id7 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� �c:� Q�u<_ -r� � <br />PROJECT ADDRE:iS <br />� �r�=no�� <br />Owner <br />Tenanl <br />��� � <br />Eleclrical Contraclor <br />Address <br />Mail Addross <br />Mail AJdress <br />���w��i ��ty a�= <br />Stale Licenso Numbcr <br />Proposed Use af Building <br />City <br />City <br />City <br />Slale2ip <br />Slate/Zip <br />State/Zip <br />L/^, VJ <br />�.�o <br />Contract Price of Work <br />Contact Person �Plan Review) <br />Descriplion of Work to 6o Dono: �-Q� � U Yl��+ ��I �� �� %�Cii'I�iZ <br />NOTE: N.'IRING IN NON•DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CA[3LE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily tha(1 have read <br />eorrect. All provisions of laivs e <br />�v1re(her specir�A herein or nor. <br />vialafe or cancel fho provisions_ <br />296.200 <br />fltis <br />gov <br />�/ a <br />1 canpl}� <br />r,nd knav the same fo be (rue and <br />y,oe of work will be compfefeA <br />nof prosume fo give aufhonty fo <br />�egulafin� construction or the <br />er o/ Ihis property ro pedonn fhe <br />Confrnctors Law f8.27 RCW and <br />�b <br />FEE <br />1-�3� I <br />Phono <br />Phone <br />���� <br />Phone <br />Gi u� � -i �� <br />