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( <br />E�_�GTRICAL d'ERMIT APP�ICATIOIV <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 FR06A 8 AM TO 4 PN <br />lo s1� y � �,� ��.� �j �� � � <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Eleclrical Contrector <br />Lfcense Number <br />,���.� � s � y <br />Mail Acidress <br />i� �%�t�% �[ <br />Mail Address <br />��L — <br />Mail Address <br />Proposed Use of Building <br />Description of Work lo Bo Done: <br />Clly <br />City <br />Clty <br />!O �( �-l/ <br />Eic�l l l o -oUv <br />—t�C�` L.i�l / c�, <br />Slale2ip <br />� �/ �� <br />Slate/Zip <br />Stale2ip <br />��� <br />Contr:.ct Price of Work <br />Contact Person (Plan Review) <br />w� n a. d-i��- J <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 here6y certily that I liave read and examined fhis <br />correct. All provlslons of laws and ordinances gov <br />whefher specified herein or not The granting of a <br />violate or cancel tlie provisions of any otlier state c <br />pedormance� of construc0on. That 1 am autho�ized <br />work for �vhich appllcarlon Is made pnd I comply w� <br />29G.200 WAC. ^ _ <br />� <br />s fo be true and <br />compfeted <br />re aulhonry (o <br />tion orthe <br />o pedomt fhe <br />8.27 RCW and <br />� <br />FEE <br />Phone <br />Phone <br />Phone <br />I:,1N I �I(� "�� <br />