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f' -�. � .1 � ` <br />ELECTI�ICAL PERMIT APPLI r'N�-� �=`'_==',.) <br />CITY OF FVERETT PERMIT SERVICE pUo �. a'_��� ' <br />3200 CEDAR STREET, EVERETi', WA 98201 <br />425-257-8810 - FAX 425-257-6857 —www.everettwa.orgpUFyL1C �� "'�i�s <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� `� ��� <br />�7 �� �� <br />PROJECT ADDRESS � <br />Owner <br />Tenant <br />Eleclrical <br />Mail Address <br />Mail Address <br />Mail Address <br />�`� � �c nl�in i7 K ���Z�/D <br />State License Number <br />�r..i`� (� � T1 C <br />Proposed Use o( Buil in <br />Descriplion ef Work to Be Done: <br />City <br />City <br />City <br />��oo����y <br />StalelZip <br />Slale2ip <br />�A- 9 <br />State2ip <br />�� � ` . � <br />Con ract Price of Work <br />1.�." rif � I v-�/` <br />Contacl Person (Plan Review) <br />Phone <br />Phone <br />3 cP o <br />�ii-�3�f3 <br />Phone <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />rITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby cerlily fhat 1 have read and exs <br />correcL All provisions of laws and ordic <br />whether specified herein or not The gr <br />violafe or cancel flie provisions of any o <br />peAormance of construction. That I am <br />wnrklnr.tUhich a�alication is made and <br />fhis applicafion and know the <br />goveming this lype o(work w <br />�la permd does not �resume <br />3te or local law regulating con <br />ized by Ihe owne� o( this �rop <br />y wifh fhe Sfate Contractors ! <br />� �/�, I <br />to be frue and <br />omplefed <br />� authontv to <br />and <br />FEE <br />L �(/l.i� /� <br />