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( <br />ELECTRICAL PERNlIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES I��/ / <br />3200 CEDAR STREET. EVERETT, WA 98201 a/ / <br />425-257-F810 - FAX425-257-8857—www.everettwa.org � <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br />� � ZS (�C"� <br />�� ���e`����� � <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Eleclrical <br />Mail Address <br />C��E(S 7L^t`I �ierC�fEC�I <br />Mail Address <br />a,cl Cc+�l�nq i�0• �ox 3zaS <br />�r Mail Address <br />cFF� He F���Is 3� i <br />Slate License Number <br />CcmmertSn � r� �, � <br />Proposed Use of Building <br />Description of Work to Be Dane: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />City <br />�ver�fi' <br />City <br />;, � 4� <br />Cily <br />j�i <br />G--'///Z` � � <br />S�ale2ip Phone <br />G,+�1. Y�zo3 <br />State2lp Phone <br />c Q. �go�3 Y��-��-��,3 <br />Slate2ip Phone <br />I Gn. D� <br />Contract Price ot Work <br />Conlact Person (Plan Review) <br />Tuler��o 5�q� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certily that 1 have read and examined this application and know Ihe same fo be (rue and <br />correcf. All provisions o/laws and ordinances governing th�s lype o/ work will be comp/eted <br />whefher specilied herein ornoL The granting ol a permd does not presume to give au(honty to <br />violate or cancel the prov�sions o! any olher slate or local law regulating construction or the <br />pedo�mance of co^ shucho c. Th ef aam auth�onzed. bylh�e owf a Cont acPspLaw 18P27 RCW and <br />� �c � �I%,lc�.� <br />FEE <br />�1/Z-o�y <br />