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ELECTRICAa_ PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STIZEET, FVERETi, WA 98201 a-7—/Z <br />47.5-257-8810 - FAX 42.5-257-8857 — viww.everettwa.org <br />C/7_r.��-Os� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� <br />_ ' � � �, i a�,''/'� ;, � :- ✓ric�/ l : ��� Zu � <br />PROJECT ADDRESS <br />i,^�, <br />Ownor <br />Tenanl <br />Eloctrical Conlreclor <br />i. r' ; (. ' � <br />Slale Licenso Number <br />� � . � l <br />Proposed Uae of Buildiny <br />A1a�d Addross <br />A1a�J Address <br />Mall Address <br />/ <br />Decr,ription of Work In [�n Done. �_� �<<- �� <br />, -� n n rr / �n <br />—= J . . � . <br />1� � <br />City <br />Cily <br />City <br />J,. <br />/ `-:/ ^ A �.'7 <br />,h, � i. - �r � <br />, � � � •���%!: ,-i+� 10 �l h.�'C��� C� <br />� � <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 heroby certily fhat 1 have read mid exnmined fhis epplic� <br />co�����. na ��ovis�o��s �i iaws and adinances govornmc� <br />whefher sper,Jied hurein or not The �renting ol e permR <br />vialalo or cancol fho F�rovisions o� an� other sfafe or locai <br />perlormance o/ construcfian. Thaf 1 om authoiized by thc <br />work !o� which app6cefion is mndu and I compty wifh fho <br />T96200 WAC. <br />� <br />�,- _ _ �' <br />.�.,,�.�:�, ,� <br />Siyulilul0 <br />L✓/f �lfs1 <br />Slale2ip <br />State2lp <br />Slade/Zip <br />Conlract Prica ol Work <br />�aZs - z � �- <br />cb 9L. <br />Pho�e <br />Contact Person (Plan Rovie:��) <br />Phone <br />Phone <br />/,-„ ;,.� .��d I K, f��.�� <br />FEE <br />(� �� <br />mid kno�v fho sarno fo be frue end <br />ypo ol work will bo cemplefed <br />� nof rosume to give eutlionty to <br />ro�uPUng construcfion or fho <br />or o/ fhis roperl y to perlorm the <br />i Cnn/mc�nrs 1 ew 1827 RCW Bnd <br />� <br />tIZC.�_-U�. <br />