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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—v�vaw.evere!t�va.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> Z�p � Co I l� �, �-„cu-�� <br /> PROJECT ADDRESS <br /> S ��� z'to 7 �o(Iz � C=�E (�v,� <br /> Ovmer h1adAddress Ciry Slate/2ip Phone <br /> �"(S'�' �IN-2�I�C� �"<� �C �d�'L-� <br /> Tenant Ida�lAdCress Ciry State/Z�p Phone <br /> SG-.���i.�._�-wk��.u.,��S (Z"}oE �1�; Iico ��.�„� '�� lVw4-:�rco . LU.� °1S 275� <br /> EleCifical ConiraClof Mail Address City SlalefZip Phone <br /> s �y � zc.i � � 34�7 � �� K <br /> Slate License Number Contract Price of Work <br /> Proposed Use of Building Conlact Person (Plan P,eview) <br /> S�oO 4� -C� <br /> Square Foolage (If residenlial nevi construclion,remodcl or addilion) <br /> r�G-/!�> <br /> Description of Work to Be Done: .-1—��'�1 l V O�� / l—�� ���,�� <br /> � Z 'i' u�x.�.i cRS <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> 8E IN RACEWAYS, MC OR AC CABLE. <br /> � �� �'G <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I <br /> 1 heieby certi/y thaf I have read and examined this ap/�licalion and know the same(0 6e fiue and <br /> correcf. A/l provisions of/aivs and ordinances governmg fhis type ol�vork will6e complefed <br /> t•�hether spea�ed herein or noL The granGn�ol a pem�d does not resume to givc aidhonty/o <br /> viola(eorcancelthe I�rovisionso(anyoth,erstateorlocallawreguPatrngcons(iuctionorfhe ��� � � I ��Q <br /> ' �o k onvh/ch a��I/cra n is ma�dr erid I com IZ��fh the S(afe ConlrracPrspLa�i 18.27�ftCW and V <br /> 296.200 A�� P y <br /> ( � L-21 - 12 <br /> _Siqnatum __ o�te <br />