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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 — v ww.everettwa.org �l <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />l i` �ti f•, 50 fvC_"q.14 �)A <br />PROJECTADDRESS <br />Owner Mail Address city Slale/Zrp Phone <br />1 NTT E.LC Xrr- Si SW I_ -, v I1 l•Jra <br />Tenant Mad Address City State/Zip Phone <br />�� ,-:mac y1"; ty 4"tact 23104 QZd- hle rcK WN 9C��'7Z 3(c 79�19ti2 <br />Electrical Contractor Mai Address City StateMp Phone <br />7r_) <br />Slate License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done. } ry- Nov ni' trrnow -1 if+ pr"CJ.e fv"L+Ai �-� S t,•��r'"` . }�u ,� <br />NOTE WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 homby comfy that 1 haw read and examined this appbcabon and know the same to be true and <br />correct. All proostons of laws aix ordinances gomming this type of worA will be comploted <br />whether specified herein a not. ;he granting or a pemmt does rot pusurne to grw auti.ontyfo <br />vtolafe or canto! $he Idnovisions of any other state or local law reouGiti g vonstruc ion or the <br />performance of conslmdion Taat I am authorized by the owner of this pioperty to perican the <br />twrk nor which appbcahon is mate and l comply with Ito State Contracfors Lew 18 27 FCW ad <br />296 200 WA C <br />0(-r �� o <br />-- kina we ale <br />=0-70Z-15`il <br />I <br />c� <br />