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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 — vmnv.everethva.org <br />APPLICATIONS ARE ACCEPTED FRO41 8 AM TO 4 PM <br />PROJECT ADDRESS <br />k-A \)l G Ai <br />r A <br />Owner <br />Mall Address <br />City <br />- <br />State/Zip Pbe:�e <br />Tenant <br />Mail Address <br />City <br />-- <br />SWte21P Phcne <br />uSe <br />r=<E 'L ac <br />M'flrlIleu <br />�L%�S��3d <br />Electrical Contractor <br />Mail Address <br />Cin" <br />vt4 8�3g <br />State2lp ppon, <br />l -,Gc\ 11i <br />Cte 9,�? <br />t1n <br />Slate License Number <br />Contract Price of Work <br />Proposed Use of Building <br />Description of Work to Be Done: <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 cenity that 1 have read and examined this application and <br />caret(. All provisions of laws and ordinances governing this type <br />whether specified herein or not. Tiro granting of a Permit does not <br />violate or cancel the nrovlsinns nr ano mh.' erg,., — r,....r 1.... ..-... <br />Contact Person (Plan Review) <br />vc* >/ <br />'re to be tnio and <br />) completed <br />Ive authority to <br />ction or the <br />to perform the <br />18.27 RCW and <br />FEE <br />ed911-/45 <br />