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ELECTRICAL PERMIT APPLICATION <br />GITY OF EVERETT PERMIT SERVICES ,a —a- ya <br />3200 CEDAR 5TREET, EVERETT, WA 98201 ����.Z�b�� <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />0 �—v /U �/o«rXuia� ���r �� <br />PROJECT ADDRESS <br />.� %e ti/,•. . <br />/�td r <br />�tf121J1 Cea.•� . <br />/�^��� <br />Eleclrical Conlraclor <br />Slato Licenso Nunber <br />A1ail Addross <br />Mail Address <br />Mail Address <br />�. �L � a�c,�,� ��1� �C f��� � l� ) <br />Proposed Use oi Bui�ding ' <br />rOa��W, <br />City <br />Cily <br />City <br />L� ir� �LU/ <br />Stale/Zip Phone <br />State/Zip Phone <br />Stale2ip <br />.C�/ <br />Conlracl Price of Work <br />Contacl Person (Plan Roview) <br />Descnplion of Work lo [3o Done: �= x,� I.� I2-.{ t� /- ��� n �n ;�� <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 />I hereby certil}� thaf 1 havo read and examined fhis <br />comecL All provisions of /a�vs and ordinances gov <br />�+hefher specilied herein or not Tho gronling of a <br />violate or cancel fhe �rovisions oI any other sL�te c <br />� o k!o r{t�fi/ch ac��l/ c�ation 1 s n,s�de arid I com r�zed <br />29G.200 WAC. p� p y <br />know (he <br />ol�vork w <br />�-�—� B , .L_oa�, � <br />� to be 6ue and <br />cornploted <br />�o atdhonty fo <br />tion or tho <br />o podonn ihe <br />8.27 RCW and <br />FEE <br />Phone <br />. O/ (�' <br />/�'�� <br />