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ELECTRICAL PERMIT APPLICATION <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 FROM B AM TO 4 PM <br />yJ�I�J�, <br />.3no ? CtirPJ"/ CRJ/It0 2d. F_ tlered WA 016_2(5V <br />PROJECT ADDRESS <br />8'(1P7r14 Cvrp, no /30fr 37v7 .SASH/P, kiA r;g is <br />Owner Mall Address city state2lp Phone <br />Tenant <br />Mall Address <br />city <br />Electrical Contractor Mail Address city <br />CcJrNBV✓L(/(o/C6 <br />V T- -Veils /)T <br />State License Number <br />mePi'/f'41 LyI/I-1 <br />Proposed Use of Building <br />Statemp Phone <br />Stataimp Phone <br />Contract Price of Work <br />/I64e llefr 4 H <br />Contact Person (Plan Review) <br />Description of Work to Be Done: l N f, i 1,,nuyO��li�,� e? b/o/i U - IV iSYI 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 tS 3105 <br />I hereby certify that I have reed end examined this epplicr <br />correct. All provisions of laws and ordinances go,emmg i <br />whether specified harem or not. The granting of a permit <br />violate or cancel the Provisions of any other state or local <br />w�nrdk%o whkh construction. <br />ppliceboln Is mad f end 1 authorized <br />o ply with Thee <br />296.200 WAC. <br />/.2 <br />iow the same to be true and <br />work will be completed <br />FEES <br />