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ELECT�ICAL PERMIT APPLICATION <br />CITY Qf= EVERETT PERMIT SERVICE� <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 />_�li u 2 �I ��IVr �� t=_ v��iT w� �j(�z�2� <br />PROJECT ADDRE5S � <br />�Z .� �/b <br />�/OiZ-d�3 <br />a-ft��,'r -� �(•%t�PrJ�;,- �1 I o z �1�' A ��r <�= r-v,<n.�J -� , duA ���F,z��y'� y�� ?��(8 (�7u 1 <br />Owner Mail Address City Stale2ip Phone <br />Tenanl Mail Address City <br />—� �J �,J�r? _ <br />Electricai Conlraclor Mai� Address Ciry <br />License Number <br />Proposed Use of Building <br />Descriplion of Work to 6e Done: <br />\v (' t.c L <br />NOTE: W IRING IN NON-D�NELLINGS IS REQUIREG TO <br />BE IN RACEWAYS, MC OR AC CAf3LE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />y ccriily fhat 1 have read and e. <br />All provisions ollan�s and orc <br />r speci�ed herein or noL The � <br />orcancel (he provisions olany <br />�ance olc �st cfion. Thaf I a <br />r�vliich pplicat� n is rnade an <br />0 WA� <br />�� j � "� % �" <br />Slate/Zip <br />State/Zip <br />Contracl Price of Work <br />Conlacl Person (Plan Revie�v) <br />this applicafion and know fhe sarne to be frue and <br />2ovenmig this fype o( �vorl< <:ill 6u cornpleted <br />�l a pennd does not prsswne to ,qive au(honty to <br />�te or localla�v regulating construcfion orthe <br />¢ed 6}� (he o�rner ol lhis property to peAonn fhe <br />y� u�ith the State Contraclors La�v 18.27 RCW and <br />I �-�- 7-o i 1� <br />FEE <br />Phone <br />Phone <br />�`U� Z'-U�� <br />