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ELEC�'RICAL PERMIT APPLIC�4TION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�J/`���� f�i�l; �/'L-� �� �J <br />PROJECT ADDRESS <br />Owner <br />Tenanl <br />Electrical <br />9 �,��,u��2,L�C <br />Idail Address <br />/A�f.(r' <br />Mail Address <br />> /' • / <br />��^.'YY SS/(�An L S � <br />Mail Address <br />�Pr«��PGoI%�3/�. <br />Stale License Number <br />Proposed Use of �uilding <br />City <br />Cily <br />Descriplion of Work l0 8e Done: i, c�i- I� C••<<� v�, 5� ���'«^ <br />J <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 certily (hat I have read <br />correct All provisions of /a�vs s <br />wheiher specilied herein or not. <br />violate orcancel fhe�nrovisions <br />is <br />StalelZip <br />Slale/Zip <br />.(� �,�q n <o u v( � <br />State/Zip <br />Phone <br />Phone <br />�3r� �) 57y-5"3 � / <br />93'G c f' _ <br />Phone <br />� 3�oU. �u _ <br />Con ract Pricc of Work <br />,P+� n �,�'s�'� � � <br />Contac Person (Plan Review) <br />fhis applicafion and kno�r �he same to Ge true and <br />govenung th�s type cI �vork u:ll be co npleted <br />�/a pennR does no( resume fo yi�c• aulhonty to <br />ate or local law reguPting construction or the <br />ized by the owner o/ fhis property to perfonn fhe <br />�v �vifh fhe Sfate Confractors Law 18.27 RCW and <br />FEE <br />C �5oq- �Z�% <br />