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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 Q— y_/p <br />425-257-8810 - FAX 425-257-8857 - www.evereltwa.org ���, �,� . U� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />y3/7 �I���,��r ��� <br />PROJECT ADDRESS <br />�� � o ,'� <br />Ownor <br />Tenant <br />Mail Addross <br />Mail Address <br />Mail Address <br />l��! EYGZ �os�i� <br />Slato Licenso Numbcr <br />��O�t2 �+�1 . <br />Proposed Use of Building <br />Description of Work to 6e Dono: //C< <br />� /'%2"t-�i" �6% L� C � !'t J�" <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BF IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereGy certily fhat I havo read <br />corrocL All pravisions ollaws s <br />whefher specilied herein or nof. <br />violate or cancel fhe provisions <br />pe�fomiance ol const�uclion. T <br />w�ark !or which nppliaafion is rn1 <br />29G.200 WAC. <br />� !. - � / ; % <br />-� r����� w,� y� <br />Ciry State2ip <br />� f�t'ir�� l-t/,l�C/�.7f/: <br />City State2ip <br />G-rlil/li./GI?C ��1�G <br />nined this application and kno�v the <br />mces govenung this fypo o( K�ork wi� <br />nfing o/ a pennd does not prosum� � <br />7er state or local luw regu/afing con; <br />vufho�ized by fhe oivner o/ Ihis propi <br />compty wifh the S(afe Con6actors L <br />� �_ „ <br />�'/� � , <br />� �-c%� � <br />yZS <br />Phone <br />Phono <br />Stale/Zip Phone <br />� �% <br />� <br />Conlract Price of Work <br />Conlacl Person (Plan Review) <br />� fo bo frue and <br />complefed <br />�o authonty to <br />fion or the <br />o perlcrm fhe <br />827 RCW and <br />FEE <br />�I CoSS- c�0 <br />