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ELECTRICAL PERMIT APPLICA�'ION <br />CITY OF EVERETT PERMIT SE;;VICES <br />3200 CEDAR STREET, EVEREl?, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FRQM 8 AM TO 4 PM <br />S , �. i i�IeG`�'� i-irL4�eVsc ��Sp:-cssc� <br />(- r�-;��-��C <br />�- ���; I ���,�������,� �,� �y., , � _ �',,_s ���E �J� , IS'�C? � <br />�Y -�li\l�� 1 __ <br />PROJECT ADDRESS � <br />_ �- <br />� Sn,.a«,� � I �. <br />Owner �� M�il Address <br />���� (.Jt,��t�, <br />Tenanl <br />� .� <br />Electrical Contraclor <br />Slate License <br />Proposed Use of Buildiny <br />Mail Address <br />�'�. U. � <br />Mail Address <br />Description of Work to De Done: � U. <br />�; ,,.r.-.4-r� �i-r'� �OCCi�IC <br />I l(Y:S-i �l l-1� � v� <br />City <br />City <br />Cily <br />�..::; t; e� ,%u� I�_,, i �s �<_che�! i-�i�s ycc�r <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 />1 hereby certify fhat 1 have read and examined this applia <br />correcL All provisrons olla�vs and ordinances goveming <br />�vhether speci6ed herem or not The granfing of a pernut <br />violale or cancel the provisions of any other stafe or local <br />performance of construcfion. ihat 1 am authorized by the <br />�vork /or which application is rnade dnd 1 comply �vith fhe <br />296.200 VI�AC. <br />I —� <br />know the <br />o( �vork �v <br />-� _� <br />.b'�(�.�t � � ��v J�Cy -� <br />State/Zip Phone <br />��-�,�,�� 5 SU -�} G I c� <br />Slate/Zip <br />Slale/Zip <br />�L"c� - �ZCCi �"—�, <br />Contract Prico of Work <br />Contact Person (Plan Review) <br />( S Cj <br />�.a I I <br />� to be true and <br />completed <br />�e aidhority to <br />!ion orth� <br />0 oer/orm fhe <br />8:7.7 RCW and <br />� <br />� �7�i`/lG/� <br />FEE <br />�75 Z,� <br />C 1112-I�� <br />Pnooe <br />Phone <br />