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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT. WA 982U1 '� � a b�� <br />425-257-8810 - f AX 425-?.57-8857 -�wvw everettwa org C-OG� D�,.1 Z� <br />APPLICATIONS ARE ACCEPTED FROM A AM TO 4 PM <br />��{ r. �� ;��� �� <br />� � .>�.� � <br />PROJECT ADDRESS <br />�_� i4��L ,� i CL �� ��-�� --- <br />Owne� MailAddress C�ry S�ete2ip <br />Tenant <br />-�� <br />Electncal <br />MeA AdAresa <br />MBiI Adtl�es8 <br />�`.Jr..,�.�-�LV [�1- ��� i � � <br />S'IAte License Number <br />��l C � � <br />ProposEd of Bwlding <br />Y� <br />Work lo Be Done <br />��� ��f' <br />_ —� � <br />1�. <br />NOTE WIRING IN NON-DWELLINGS IS REOUIRED TO <br />AE IN RACEWIIYS, MC OR AC CABI.E <br />Cily <br />Cily <br />Slaie2�p <br />Contract Price ol Wor1c <br />Contad Person (Plan Review) <br />� CITY Of EVERETT LOCAL SALES TAX CODE IS �106 <br />� hereAy cr�rtdy flral 1 hnve! re»d end ernmineAthis apphcahon and Nnow fhn same fo bo true anA <br />ronecf All provisioris o! laws aaA o�Amanc�ts govemmq thrs typa ol work wdl be comple�ed <br />� wh�fbei sperAied hnmm a no1 The 9rflnGn� ol a pnmul A�es nnl ��esumr lo grve eidhonty fo <br />violafe or r:nnr.ti+l lhe provrsans c! eny othe� slale or Incxl lew m9u�ihng mnstn�chon or Ibe <br />�� l�Aormance nl conslriichon T4At 1 am aufhnnzeA by Ine owne� n! this pmpeAy fo pedo�m the <br />worh Irn which epplicalarr is madn and 1 comply wdh fhe Slnfe Confr�cfois Lnw 18 27 RCW and <br />: 96 ?UO WAC <br />�� <br />. � t <br />� �- � �- - > .- � � �-� �Q l <br />, ,- ------ -E <br />-t --. ,�,,,�.,�„- - ���� <br />Phone <br />P�one <br />LIa'> <br />� � � > S� <br />Phonn <br />FEE <br />I _ -- — <br />rC�'i���' � 2 � <br />