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( <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF �VERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPUCATIONS ARE ACCEPTED FROM I 4M TO 4 PM <br />��� � ��= ���� � <br />PROJECT ADDRESS <br />Owner <br />V�vr{ ll� <br />Tenant <br />CoNractor <br />�dail Address <br />�� ZB.��G� <br />Mail Address <br />��•C i.�C� zZ�f%� <br />MailAddress <br />/,t.� �, l/P � -�i �S�/�� <br />State Li nse Number <br />Proposed Use of Building <br />City <br />CIiY <br />/� %c.� <br />City <br />Square Footage (If residential new consiruction, remodel or addition) <br />Description of Work to Oe Done: <br />�L.LIC� I <br />StatelZip Phone <br />L�"�/C � � Gf//�%— •_. <br />SlatelZip Phone <br />Ya s <br />{w r�� lu�� Sa�2S`L '�'/Yi..S�' <br />31alelZip Phone <br />� ^dil <br />S �r� <br />CoNract Price af Work <br />CoMact Person (Plan Review) <br />T ��-sF� <br />NOTE: WIRI�G IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I here6y ceMily thaf 1 hav_e read and examined fhis applic <br />��lication is made and 1 compty <br />i/ <br />�/ i / <br />' know (he sama fo be frue and <br />al work will be completed <br />' presume fo give aulhonty to <br />dating construcfion or ihe <br />/ this ropeRy to peAomt the <br />ntrar.PrsLaw �627RCWand <br />lS��:N v� P � � <br />FEE <br />_J <br />�ao� -13�> <br />