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9` <br />i <br />ELECTRICAL PERMIT APPLICi4TION <br />CITY' OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 6-,� -- \( <br />425-257-8810 - FAX 425-257-8857 - www.eveiettwa.org �, � �� <br />r I I D <br />APPLICATIUNS ARE ACCEPTED FROM 8 AM TO 4 PM <br />7��..,�,,,�' d t - 9��c <br />PROJECT ADDR SS <br />Owner <br />Tenant <br />Mail Address <br />Address <br />a <br />City <br />.�� <br />City <br />StatelZip <br />Phono <br />i �.�� •�.Jrv�' b�[XJ <br />State2ip <br />Phone <br />Mt�.� r:I�J-„� ��.c ��3s �3� /-l� s�i�s �Ll�� wA y��3y �ss-3���-S�S�S <br />Electrical Contractor Mail Address Cily Slale2ip Phone <br />ME��vL-L 9��a►� <br />Slate License Number <br />l��l,l � �« �1�.�, <br />Proposed Use of Building <br />Descriplion of Work to Ba Done: v.w.w��2 � f- �% <br />���I125� �-�ZNG,P , <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CGDE IS 3105 <br />1 hereby certily thaf I have read and examined fhis applic� <br />correct. All provisions of laws and ord�nancos governmg <br />whefher specfied herein or not. The granting of a permit <br />violale or cancol fhe provisio ol any other state or focai <br />pedormanco ol�swchon That 1 am aufhonzed by (hc <br />work lor which ap lication i made and I compfy wilh fhe <br />296.200 WAC. / <br />./ <br />�� �SvO <br />Contract Price of Work <br />S� (,� S; �,N,<;,�5 <br />Contacl Person (Plan Review) <br />and know fha same to be true and <br />ype oI won<:v�ll be completed <br />�� notp resume� :a give aufhonty fo <br />�egula(ing cons!ruchon or Ihe <br />er o( Ihis p: c perty to peAorm the <br />Contracto�s Law 18.27 RCW and <br />G,?_ I <br />4` r,.,y� � <br />E <br />�55 .a5 <br />