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ELiECTRICAL PEf�MIT APPLICATION <br />CITY OF EVERETT PERIVIIT 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 />`�l � � U � �:� i�� � � � �v � �'E� � ,� �,r, <br />PROJECT ADDRESS <br />Tenanl <br />ical C�Mractor <br />Mail Address <br />M11ail Address <br />Mail Address <br />���L�Ui.�cJ L -1 �� �i / ��/�_. <br />Stale License Number <br />. � <br />l�i l�'� ('l i (' <br />Proposed Use o( Buildin� <br />Description o( Work lo Be Done: j��, �� i�� <br />Cily <br />City <br />:=U% � 5 %'� c, <br />City <br />NOT�: \NIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />StalelZip <br />State/Zip <br />Slale/Zip <br />� `►a���r <br />C-1 � O��-I l � <br />Phone <br />Phono <br />Phone <br />�� C���l) �� _ <br />Ccntract Price of Work <br />fi/� /� l'1 — <br />Contact Person (Plan Revie�•+) <br />fhaf I liave read and examined Ihis applicafion and kno�v fhe sarne fo be Vue and <br />visions ollaws and ordinances �overnmg !his type o( �rorl< <vill be completed <br />ed herein or noL 7he granfing of a pernut does not presumo to give aufhonty to <br />=1 the provisions o(any otherstate orlocalla�v regulating consf�ucfion orthe <br />`consfn�ction. That 1 am aufhorized by Ihe owner o/ fhis properfy to pedomi the <br />application is made and 1 comply �vifh the State Confractors La�v iii27 RCW and <br />�':,_ � �J <br />FEE <br />�ilvY� �� �-� <br />�. <br />