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� <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.evereltwa.org <br />.�:�0 � 5���.�� <br />PROJECT ADDRESS <br />. � <br />,�c2.� / ccK2�7 <br />OwnCr <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��� <br />Mail Address <br />��a�-o6 <br />ED(,DS�I �i% <br />yas - as� — <br />c.�H 98a75 3�r�o <br />State/Zip Phone <br />Tenanl Mail Address Cdy SlatelZip ?hone <br />��bl�ir�niun��i'- S�/ f- <br />Elecirical CoNractor Mail Actlress Ciry SlatelZip Phone <br />Slale License Number <br />�'/%l�l�i' �Q�'ll.��l��iC�l.C.i.. <br />Propos. Usc of Building <br />Descriplion of Work to Be Dona <br />NOT[: W IRING IN NON-DW ELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES lAX CODE IS 3105 <br />� <br />cr <br />Conlracl Price of Work <br />Contacl Person (Plan Review) <br />� d l�--c��it.s — re�P/�c,c- <br />tha(1 havc iead and exranined Ihis applicafion and kno�v (he sarne fo be true and <br />�visions o/ /atvs and orAin:vnces c�oveminp Ihis lypr, o/ work trill be conrpleted <br />iad herein or not. The granfiny ol a pernut does nof piesume lo c�ive atdhority lo <br />:�1 the p�ovisions ol �ny other sfate or local la�v rec�ulatiug construcfion or fhe <br />' consiruction. 7haf I am authonzed by the o�t�ner o/this property fo pedomi fhe <br />upplicati�n is made and I compty n�ith the Slate Confractors Lmv 18.27 RCW and <br />��--' � I �-�, I � <br />FEE <br />