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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.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />/5/� jy�i� si Sw �v� S ���v��� <br />PROJECT ADDRESS <br />C, t�� <br />Owner <br />Tenant <br />l� �.-PS� <br />Mail Address <br />Mail Address <br />rGi </ �'/C'cN'• c Ja, c � <br />Contraclor Mail Address <br />(�yc����� �'t 4�5� �� <br />Slate Lic nse Number <br />7 ' <br />� �S/�-��I�c / <br />Proposed Use of Building <br />SWte/Zip <br />Stale/Zip <br />Phone <br />Phone <br />> s�, l�i� Cvr� ��Z 7c� <br />City ' State/Zip Phone <br />`T'ZS 8?c��'c�.Fs <br />�� ?C�Uc.� <br />Contract Price of Work <br />Conlact Person (Plan Review) <br />Description o( Work lo Be Done: �`�L� � `� S /^ ��c% $ '� l � �� � S � ( <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerTily that I have read <br />correcf. All provisions o/laws s <br />whether spealied herein or not. <br />viola(e or cancel the provisions <br />per/ormanceo(cauirucfion. T <br />work /or which application is nu <br />296.200 WAC. _� <br />fhis <br />the <br />and know the same to be frue and <br />ype o/ work will be completed <br />not presume to give authodty fo <br />egu/ating construction orthe <br />er ol this properiy to perform the <br />Contractors Law 18.27 RCW and <br />FEE <br />� <br />�o��p •-C`�) <br />