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EL�CTRICAL 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 />l��l� �- l l �� �� < ��f. `� �✓ <br />P�( OJECT ADDRESS <br />Tenant <br />Eleclrical <br />Mnil Atlaress <br />Mad Address <br />� C .lrlc <br />Mail Address <br />nl�/'��/� ��� �;� <br />Slale License Number <br />1 ��! ! l �1 l.�)��'L � / — <br />f roposad Use ol Bwlding <br />Clly <br />Cily <br />City <br />Descnption ol Work to Be Done �(-' �/�' ���/ �i � <br />T- <br />NOTf_ WIRING IN NON-DWELLINGS iS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CARLE <br />CITY OF EVERETT LOCAL SAlES TAX CODE IS J105 <br />Slale/Zip <br />`g-�5-o6 <br />Co�k��% <br />S�e�B2iP �� /y1 <br />� �� / U�7/lu_%iY� <br />Phonf: <br />State/Zi�l � Phone <br />'�'. °��Y'�.00 % <br />Contract Pnce o( Work <br />Contad Pr•son �Plan Review) <br />1 ho�eby cm6ly Braf I lrnve road anAcrarnmod this npphcahon and know fhe same fo be trua and <br />runocl AU provrsrnns ul lews �r�d ordmencas povorrung fhis lype o�work wdl be complefod <br />«�he(her specr/wd herem or nu1 Tfrn yinnhng ol a Fx?imd does not presume to grve aufhonty to <br />moiale o� canr.nl Ihe `novrs�on5 0! eny o(hci slale oi local law �agula6ng conSVuchon o� tho <br />po�/nnnence ol cnristruc6nrr That I:�m nuthonred by fne owner oi fhis proporty fo FraAorm fhe <br />�cork lor wh�ch applic,�lron rs rnado nnd I romply nafh fhe Sfnfe Conf�acfois Le�v 18 27 RCW and <br />: 96 200 lh'AC <br />� <br />FEE <br />