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ELECTRICAL PERMIT APPLICATION <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 FRUM 8 AM TO 4 PM <br />�(I/}C� lbt� <br />j� a 2 SC ��I c:YZ - r r r�ra-�.� <br />PROJECT ADDRESS <br />�� � �✓ �� u.� <br />� �'1 S3 Ze� `d <br />"`ALC, �^',a�'/ <br />^ i, in.�� i� < i�2� r� �� —� U�Ju�f.-l- Yl�,t.� —'14U z$E ���(:�2e:� V�✓k 9 Bz.v23 <br />Owner Mail Address Cily Slale/Zip Phone <br />-7 �� w� �� s�2�,� -� - 14 � 2 SE ��I f�2�i "m,a-c� w,�-.,y t Fu�-2� �v�- � 8 7_�8 <br />Tenant Mail Address City � Stale/Zip Phone <br />� �-2,� -e�.-, � ��'z-'rrz,�� L.t_L `z �'� o G�c.<c. S fi _ ��c/u�� ('j" k.�a 9 `� 2.� � <br />EleClriCal ContraCtor Mail Address City Stale2ip Phone <br />RI1-2��t�`(�io�c� <br />State License Number <br />Proposed Use of Building <br />�� .� 2.,s'S�. �� <br />Conlract Price of Work <br />Contact Person (Plan Review) <br />r <br />Descriplion of Work to Be Done: � LTC�L � ti1 � I�•- � 2-r; J a � T �,t 2 C-<.c ( i� � <br />�KIS���. 5���' <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />GITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily thaf 1 have read and examined this <br />correct. All provisions o(laws and ordinances gov <br />whether speci(ed herein or noL The granfing o/ a <br />violate or cancel the provisions of any ofher sfale � <br />pedormance ol construction. T/iat 1 am aufhonzec <br />work (or which application is made and 1 comply w <br />296.200 WAC. <br />and know tbe <br />ype o( work w <br />�— /D— 0 6 <br />e to 6e true and <br />completed <br />ie authonty fo <br />tion or the <br />o pedorm the <br />8.27 RCW and <br />FEE <br />