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ELECTRICAL PERMIT APPLICATI4N <br />CITY OF EV�RETT PERMIT Sf�RVICES <br />3200 CEDAR STREET, EVERETT, V�'A 98201 <br />425-257-8810 - FAX 425-257-8857 — �,w,nv.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />8�yoz- ar�� r,�-� <br />PROJECT ADDRESS <br />Ma�N /�o <br />Owner <br />N/f�- <br />Tenanl <br />6�% /l�Y'�srsr,v <br />Nlail Address <br />Mail Address <br />� rw��wo� , � � 9�o g7 <br />City SlateQip <br />Ciry <br />,�i/�SrG�- tLEC- iYZG o,�E� �vE- ���E-rr <br />Elecirical Contrector Atail Address Cny <br />Fi25icE �7i2C <br />State License Number <br />�S�'k��0 ST/}�vd <br />Proposed Use of Building <br />yZS = <br />879-y7 � <br />Phone <br />State/Zip Phonc <br />�Z `� ' <br />� -9s��i a6$-��� <br />Slale/Zip Phon= <br />3�0�� <br />Conlracl Price of W ork <br />,s��-ti �-��vs <br />ContaclFerson (Plan Review) <br />ri��tion of Work to Bo Qono: �U��'r ����� ��v/� ���CVT�'–� � <br />��j�'/S%%N�J ��l`�/e�SJO c� /rl+r� — �� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVEt2ETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily Ihaf 1 have read and examined this application and <br />correcL AI! provisions ollaws and ordinances yoveming this type <br />whether specified herern or noL The granting o/ a permd does not <br />violale or cancel fh� provisions of any other stafe or local law regu <br />�� <br />to be true and <br />omplefed <br />3 authonfv to <br />and <br />FEE <br />A � � <br />/ � �. '�_ <br />�l .� ' > <br />JJ" <br />� <br />