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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.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS pJ2E NOT ACCEPTED <br />(Ccl.Z 33`�J% #�o� MfLI���/LJ Cl11iqJGF� <br />PROJECT ADDRESS <br />Owner <br />S�(1 <br />Mail Address <br />City <br />State2ip <br />Phane <br />Tenant Mail Address C.ity State2ip Phone <br />�� <br />Fk�,uvK n- S6 S 36 0� ��'��2�T/ �1 �/ �Uri� .I��F ���o i �'yzlli l <br />Elechical Conlractor Mail Address City Sfate2lp Phone <br />F�i `AN�'3 % y �- L P <br />State License Number <br />l D,uli o <br />Praposed Use of Building <br />�00 d `—� <br />Con dct Price of Work <br />Contact Peiaon (Plan Review) <br />Drscription of Work to Be Done: �� l'- y�'.iS I) A n'1 /i'Ct�c O�'1���- C�� IT }� � <br />�� �1 I 1� / — <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />read <br />made <br />i examined fhis application and know the same to 6e true and <br />ordinances goveming this type of work will 6e completed <br />ie granting of a permit does notp resume to give authonty to <br />iny ofher state or local law regulating construction or the <br />1 am authonzed by the owner of this property to peAorm the <br />and I comply with the State Contraciors Law 18.27 RCW and <br />� �/S� 0 <br />FEE <br />L,c�ap <br />l <br />E � � l 2.-08�{ <br />