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� <br />ELECTRICAL PERMIT APPLIC�ITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 42�257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />%�/�-/ 50�'S�S�, ��.Y-ff,�tii�r �i�z.;,� <br />PRQJECT ADDRESS <br />Ir--o 3 -0 6 <br />��� 6 i� -oas <br />�i�d�d (�G-Qnt-�c .�,1ct�Srn /��/ .SDf�.if.SE S�.r.r tf W�,A �jir2d3 yls 7ik-9�/�� <br />OWnef MailAddress Cily State2ip Phone <br />� <br />�� I� ��� C� 1 �' �� lt i n° `�_ <br />Tenant Mail Address Ciiy S�ale2ip Phone <br />(/ C ) 3(rc�-� 4� k-- <br />IJ'Nt I� ��C ���U S/((`L.��.i�r�C �lt <�L'4.'fi✓Li]"�` 'i� �G1r^f�9 � i�(`�C`% <br />Eledrical Contractor Maii Address City S�aie2ip Phone <br />n � �c!�rll � L i� �i S 3�- �� <br />State License Number <br />� <br />'��I-2,`J c-� � <br />Proposed Use of Building <br />1,%�S-vc:. <br />Contracl Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done' ��<' ��^--P l���r {�' r� Sc�V � cP <br />%� 7c>U ,!h,,.p _�-(o SG'-� c p�� �. % <br />� C � �-c �� i ��� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />or <br />read <br />iws � <br />rnot <br />is <br />this application and know the same to 6e true and <br />governmg this rype o/ work wdl 6e completed <br />�l a permd dces not resume ro give authonty to <br />ite or local faw reguPhnq construction or the <br />ized 6y the owner o/ this propeRy to pedorm the <br />'v with the State Confracfors Law 18.27 RCW and <br />- -� l �� �ZDQ lP , �� - �`'� � <br />Date �(i <br />