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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVIGES <br />3200 CEDAR STREET, EVERETT, WA 98201 (I� ��� �� <br />425-257-8810 - FAX 425-257-8857 — www.evereltwa.org <br />APPLiCATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br />, .Z l u �-� �iy,� .-`� <br />PROJECT ADDRESS <br />�TC' ct �`rl �� �.��t Y.� ! �rJ .zT'.�>.-P <br />Owner Mail Addross <br />Tenant Mail Addross <br />� � S � �(c ��- -< > �. /l 7� �. <br />Eleclricai CoNractor naaii nddress <br />C�5 ,���/_ .ic- tk �LL i� z- <br />Stale Licenso Number <br />j7 ` <br />K r S�_f'-�_./� <br />Proposed Use ot 13uilding <br />City <br />Cily <br />City <br />Stale2ip <br />Stale/Zip <br />Slale/Zip <br />Ciloy ��/9 <br />S �v �-- <br />Conlract Prico o( Work <br />Conlact Person (Plan Review) <br />Descriplion of Work to �e Dono: 1'J �:le-( /«!/f �' <<• i c�. /- ��/S � el,Q <br />�l�i-��c'._> : -f � �� .,_-1 i�<../f /-i <br />NOTE: WIRING IN NON•DW[LLINGS IS REQUIRED TO <br />S[ IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I herchy certi(y fhaf 1 have read nnd examined fhis applia <br />conrct. Flll provisions olla�rs and ordinnnces �ovemm� <br />�rheG�erspeci6eAhcrein ornot The ��antiny o(a perni�t <br />��iolafe or cancel fl�e /nnrisions oI any other sfafe or local <br />I vo�k lor �vhl cl� ap�l ct� i i�'s nmde aad�l corr ply �vit�}fhee <br />296.200 INAC. <br />iow tho same fo be Lue and <br />mork u•ill bo complefed <br />esumo to r�ive airthonty fo <br />inp consfniction or fhe <br />iis property to pedomi tho <br />octorsLaw I8.27RCWand <br />FEE <br />�\\C'� I� <br />Plione <br />Phone <br />� <br />Phone <br />