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E�_ECTRICAL PERMIT APPLICAiION <br />CITY OF EVERET"f PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everellwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 Af�l TO 4 PM <br />�a0� ��1Pr�C�(�J�f� <br />PROJECT ADDRESS <br />Owner <br />��', Fin�n� <br />Tenant <br />Eteclrica�� ContraCt� <br />A1ai1 Addmss <br />Mail Address <br />Fdtlress <br />�rinC �}.5 l�1gGE <br />State License Number <br />Propos�d Use of Building <br />City <br />�-s <br />Ciry <br />State2ip <br />SIaIc/Zip <br />Slate2ip <br />Z <br />Phone <br />ya5- <br />�J3 353- b3� $ <br />Phone <br />y�-. <br />9�03a �s;-9�.;�� <br />Phone <br />300 �0 0 <br />Conl2ct Price of Work <br />Contact Person (Plan Review) <br />Descriplion oi Work lo Be Done: �TJ l�SID%% !//����% __ <br />IJOTE: WIRING IN NON-DWEL�INGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOL'AL SALES TAX CODE IS 3105 <br />1 hereby certi(y fhaf 1 have read <br />conecL All provisions o(laws s <br />whefher speci(ed herein or not. <br />violafe or cancel the provisions <br />peAormance oI construcfiun. T <br />work lor v�hich applieation is me <br />296.20D WAC. <br />this applicafion and knmv fhe <br />govemmg fh�s type o( �vork w <br />ot a peimd do?s not presume <br />comply <br />� to be fine and <br />complete� <br />�e aurhonty fo <br />'ian or the <br />a pe�fami the <br />8.27 RCW and <br />FEE <br />3,5;D0 <br />