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ELECTRICAL PERMIT APPI�ICATION <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 />�-�30 �f � ,�� �7" 5(,J <br />PROJECT ADDRESS <br />-�_�i--tl <br />C I I d7- �'�`% <br />TY�� w��r�.�� zq �, �f���' S7.�� ��F.-��- w�- 9��� <br />Owner MailAddress Cily SlateJZip Pliona <br />Tenant <br />Mail Address <br />City <br />State/Zip <br />Phone <br />GR��E��t� yl�z ����srti��� s�w�.� �N,,� �Ik�ZjZ 3c�_wsz-, <br />Elecirical Conlraclor Mail Address Ciry State/Zip Phone <br />C+�;��� �i 3l� �-3 <br />Slale Licanse Number <br />`�r � <br />Propo::ed Use of uilding <br />Description o( Work to 6e Done: ��'�= <br />NOTE: WIRING IN NON-DWELLINGS IS F2EQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1; ia ve read <br />the <br />� SGU.CiU <br />Contract Price of Work <br />Contac( Person (Plan Review) <br />� <br />P�is applir,ation and know fhe sarne to be (rue and <br />govemmg fhis type oI work will6e complefed <br />�l a pernut does not presume to give aufhonry fo <br />ite or loca/ law regu/ating construcfion or the <br />ized by the ownor �.� this �ropertv to perfomi fhe <br />'y wifh the State Contractors La�'v 18.27 RCW and <br />FEE <br />� � I U� _ a( �- <br />