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ELECTRICAL PERNiIT 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 />C�.'���, `�. c�J•e.24 i� �'�latt �.JPi7� <br />PROJECT ADDRESS <br />Owner <br />Mell Address <br />Ciry <br />�l <br />�- O� 0 3 <br />Slate2ip Phone <br />11hrv 1i' L5>Rt�i�W-! �'c�=t�.'�- rl,�u �� cVE^'�T i I�NyL 6J/�� f'•�v�4.i� �.+A 7-�'G• 1yY�'�fl <br />Tenant Mall Address City Sla�e2ip Phone <br />�/F=��£ Fi�i t Sf.cv2�'cy ilC �1b4'� E"�(M N1� I��c �`:Z��niiTG�v l�i� lP�c23 �izS 2`I�� ��1� <br />Eledrical Conlredor Mall Address Clry State�Zip Phone <br />�titif S�i'31 tr. < <br />State License Number <br />Proposed Use of Building <br />/NJ <br />3G fJ �J <br />Con!rad Price of Work <br />5C'r f 7�.^_�rs�YLp <br />Contad Person (Plan Review) <br />Description of Work to Be Done: 1 r�'�"�� hc-�- �� R6 A �Nr-r"� "f�4 NA.�3�' 11`�i��ti �EN'i 1�i� <br />i�i''s.a'—'5:+7 `���r�.v'Crt�t� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRE� TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />1 hereby ceAi/y fhat 1 have iaad and examined fhis <br />correct. All provisions of laws and oNinances gov <br />whethor spacdied herein ornot The granting o/a <br />violate orcancellhe provisions of any othersfafo c <br />performanco ofconst�uclion. That 1 am aufhorizec <br />�5•ork for which applicalion is made and I comply w <br />296.200 WAC. <br />to bo frue and <br />omplefed <br />3 aufhontv fo <br />and <br />FEE <br />i <br />��� ` '''�� <br />L� r � <br />� ���J�i <br />