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ELECTRICAL PERMIT APPLICATIC)N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �p --/2•-/d <br />425-257-8810 - FAX425-257-8857-www.everettwa.org ��OD � �C./v <br />APPLICATIONS ARE ACCEPTED FROM e AM TO 4 PM <br />a� � a ���'nm �+ R� e <br />PROJECT ADDRESS <br />�� 2 j- 240 - <br />]-lfl�Hc.�; 13t'oS, 1�S 3922 8�+ j�uc ti e ,rYl ury s �� ��� c(�27� 2 y29 <br />Owner �fail Address City Slate2ip Phone <br />Tenant <br />Electrical Conlraclor <br />Stalo License Number <br />Proposed Use ol �uilding <br />Descriplion of Work l0 6e Done: <br />Nail Address <br />Mail Address <br />NOl'L: WIRING IN NON-DW[LLINGS IS REQUIRED TO <br />[3E IN R4CEWAYS, AAC OR AC CADLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />All <br />orcancelthe <br />�ead and examined (his <br />nvs and ordinmues �ov� <br />r nol. The arantina o( a <br />compry <br />City <br />Clly <br />Siate2ip <br />si�i�iz�� <br />Contracl Price of Work <br />Conlact Person (Plan Review) <br />iplication nnd knew Ihe sarne to be true t�nd <br />ung this type of �rork will be complefed <br />rnnt does nof nesurne fo give authonty fo <br />oca/ la�r regulating construcfion orthe <br />� the o�rner o/ fhis property to per(onn the <br />the Stafe Con6Acrors Law 18.27 RCIN and <br />F�?E <br />Phone <br />Phone <br />g-? o lU � 00 `�' �`�� <br />ate <br />