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ELEGTRICAL PERMIT APPLICA��'ION <br />CITIf OF EVERETT PERMIT SERVlCES <br />3200 CEDAR STREEf, EVERETT, WA 982D1 <br />425-257-SS10 - FAX425-257-8857—wwuv.everetiwa.org <br />APPLICAT10N5 ARE ACCEPTED FROM 8 AM TO 4 PM <br />�'l�/6z C�vr r� �� c-� �/,J �u. <br />PROJ[CT ADDRESS ` <br />Cvmer <br />Tenant <br />Mail AddrEss <br />t,M�il P,d +u�s <br />CDf7lfdGiO� � � tJlail Addr�S <br />' City <br />City <br />� A-'['dC <br />Cily <br />�/ ��1s�;� �� 9� �� 8 — <br />Sfate License Number <br />�%�iJ�s��r-�li�— - <br />Praposed lJse "f Buildng <br />Desaiption of Work to Ue Done: <br />NOTE WIRING 1N NON-DWELLINGS IS REQUIREpTO <br />BE IN ftAGEWAYS, MC OR AC CABLE. <br />CffY OF EVERETT LOCAL SALES TAX CO�E tS 3�05 <br />� I hereby certiy thaf 1 have read and examined this applic <br />� correcf. All provisions oflaws and � ces govemmg <br />� i•�he(herspeci�edhercinornoL T eg2n afz vem+rt <br />� violafcorcancelthe prrn�isions anyofher atearfcca� <br />pedonnance oicansize9on. at i am autho zed by fhe <br />� v�ork for which applir.atron is m, and 1 com ly wrih the <br />296200 l'VAC. iJ <br />and know the <br />�pe ot work w, <br />StaI�D <br />S�IdZip <br />SWIe2ip <br />Phme <br />Phme <br />' � t�Z—o�J� <br />PhOne <br />isFn - �o <br />ConVad Price of lNork _ <br />^1��-: _f.4�� �`>' <br />Conlad Person {Plan Review) <br />° to be true and <br />campleted <br />re authonty to <br />h'on orlhe <br />o perform (he <br />8.27 RCW and <br />D � � <br />FEE <br />0 <br />U�d llL9-VL'J-�„�:: yx� �ieqob elZ�Ol LL 8l 1�0 <br />