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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 />, <br />���,� S� � � � C�/ <br />PROJECT ADDRESS <br />� L <br />C� Lo;72 I <br />Owner <br />Tenanl <br />�G.�,r�s L���, <br />Electrir,al Conlrector <br />M�ii Address <br />Mail Address <br />�3% <br />Mail Address <br />City <br />City <br />�5�� �� .f/- G/. <br />C� �c, ,r � L ��i3 %!� %� <br />Slale License Number <br />�y..�r' �s���—G��. <br />, �� / � �— <br />Pro�Use f�uilding <br />��W� ��� <br />Description of Work lo Be Done: <br />SC �� L'�-� <br />Stale/Zip <br />State/Zip <br />Phone <br />Phone <br />Ciry � j� ��L�-�. StatelZip Pho�? <br />fz� �3'� 20 <br />�70G', <br />��r.s�l� � � <br />,� K -u-l% � / /C�C�-�! <br />NOTE: WIRING IN NON-DWELLINGS IS FEQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />or <br />�'If <br />Contract Price of Work <br />Contacl Person (Plan Review) <br />SG(1� %.H � ! <br />1 have read and examined Ihis application and know fha sarne to be true and <br />ns ollaws and ordinances governmg Uus type ol work will be cornpleted <br />�rein or noL The �ranting oI a pernuf does nof resurne to give authonty fo <br />provisions o/ any ot s( fe or local lau� reguPting construchon or (he <br />;truchon. Thaf I��i6�zed 6y the owr:er o/ fhis property fo pedorm the <br />rn:inn �c mado a il 1�.'�n.t'�h✓ k�iih rhr. Smfa Contractors Law 18.27 RCW and <br />�f �/-.:,zlD <br />FEE <br />�� <br />nrr/ n�� <br />�1 <br />