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ELECTRICAL PERMIT APRLIGATION I'� <br /> CITY OF EVERETT PERMIT SERVICES i <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM a `I� v l� <br /> C � ��2��� <br /> � I U� 3rvacl�c.A..�,� A-U2, <br /> PROJECT ADDRESS <br /> Owner Mail Address City StalelZip Phone - <br /> (11� ll i w�nCte�<i-� l�l���v� �toa �,��.��.y �g����--�-�a�2�� <br /> Tenanl Mail Address City State2ip Phone . <br /> �\ Q�'V1(n1r, �ommu,n�c.u����ns PbgDY9��, f-Idha��- u.�+9 R ��s �zsy3z-�oc�g <br /> Electncal Conlractor Mail Addross City Slato2ip Phone <br /> L�-�=� mr�=9��os � S3oo ,p� -� <br /> Stale License Number ConlraIX Price of Work <br /> �C�n C� n.n� ��vh c�� Uaux��e.�1 <br /> Proposed Uso of Building Contacl Person (Plan Review) <br /> Descnption of Work to Be Done: , --�-Y�S�� �� �� l E C CSYV1 V1��,l V'�l C �-�'�� <br /> � «_��� ���� ����c_ a��� - ��� � ��2c� ' <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. '— <br /> CITY OF EVERETT LOCAL SALEi TAX CODE IS 7105 <br /> I horeby cerlity Ihaf 1 M1avo read and oxaminod this application and know tho samo fo ba frvo nnd <br /> conect. All provisions ollaws ond adinnncos govommg 16is typo ol work wdl bo compblod � � � r � <br /> whefher specified herein or noL Tho granfmg o/a permd does nof presume to giva authonly lo � -O �� <br /> violalo or cancel fhe provisions of any olher sfele or lou�l law regulafing consfniction or Iho <br /> work%r�which a�I cra if o�n Is ado�and 1 com�IZeivdil h Ihe Sfafo Conl,�a�cPrspLaw 18 2 R W and <br /> 296.200 AC. PP P y <br /> ��� � <br /> � i� � � <br /> Signaluro Dato <br /> O <br />