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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8610 - FAX 425-257-8857 — www.everattwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />Vj 2L\ �V�l.Ye j <br />I <br />PROJECT ADDRESS <br />st.4irk <br />ZeI S+ 'ram:)Cr \ ttS Sufi 300 N2t.Ls(2r't jZZ zcl,n,PA 4a4,60 <br />2-6706 <br />Owner Mall Address CRY State2lp <br />Phone <br />y`Lv2ot� �lu, 5A. L\jivkkt !hal\ 00&, N 'bvL•"o6 aCob <br />rl3ua <br />Tenant Mall Address City State/Zip <br />Pnone <br />N(�\Ip nlfu. CtIDO fiav)jou'--�'lac" I LAubct\-tvLo,wf} gla'7s 3411-s'c'-14 <br />Electrical Contractor Mail Addrsas city Statemp <br />Phone <br />f\(-NOt.LrL7r O LiL\ Uli \ 00 Vc <br />SlateLicense Number Contract Price of Work <br />(( <br />`uYV\yyyty-L'a L-ayl- C2yL.\ I <br />Proposed Use of Building Person (Plan Review) <br />\ 1 .,_Contact <br />Description of Work to Be Dane;NOTE: <br />WIRING WIRING IN NON -DWELLINGS IS REQUIRED TO FEE / <br />BE IN RACEWAYS, MC OR AC CABLE. <br />I <br />CITY OF EVERETT LOCAL SALES TAX CODE IB 3106 -- <br />I Aareby cerlify that/ have road and examined this application and know the same to be true and <br />mrrecf. All provisions oflaws and ordinances govenan , this type of work will be completed <br />whether specified herein or not. The granting of a pamut does not Presume tog" authorityto <br />violate or cancel the provisions of any other state or local law regulating construction or the ` <br />O for which o pliccat onus made and l mply with the state ContrhactprospLew 1B 27 RCW end (' <br />296.200 WAC. 1 j <br />�GVw� U <br />8g furs Date <br />51 U lst� <br />