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ELECTRICAL PERMIT' APPLICAiION <br />CI; Y OF EVERETT PERMIT SERVICES <br />3�Q0 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8510 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />} '��- -�'— i d�'�.—T Ma// cJ/�-/ <br />PROJECT ADDRESS � <br />C-�iD ��� <br />V,�'i /fMl�% .$�o�(•> /S �� S r n.�.�'/i ,'L/a�/l.r1 � GJe.r/� Gv/J- �Q'to�'' Z G Z SivG�� <br />Owner MailAddress City Stale/Zip Phone � <br />c�M� �s a�-„� <br />Tenant Mail Address City Slale/Zip Phono <br />MJL.f}�` LLL /��%S il�l/cGJ:iy �)...�Ed ;,r�=..l'�i} G�i/� i�'i�� L�C35� <br />Elocirical Conl�aclor Mail Address Ciry Stale2ip Phone <br />,C�j�lZ,a/�!_ �E-:�/� L i <br />Stale License Number <br />�� 7i� i � <br />Proposed Uso of 6uilding <br />.� s���J C L +� ) -- <br />Contract Price of Work <br />Contacl Person (Pian Review) <br />DescripUon of Wark l013o Dono: -' •^� S T/�/� �1 cJ I/;, /i��;� S:w�J S�,STc.�,� <br />�� -,a c S�z <,�� N , �,�� „,� J s_�.� � � � x �� - � r ) <br />T � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IPJ RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOC�aL SALES TAX CODE IS 3?GS <br />I hereby certify fhat I hat e ���ad <br />correcL All p�ovisfons o1la�vs a <br />whetherspecified herein ornot. <br />violaleorcanceltho provisions <br />perfomianceo(cons(rucfion. T <br />wo�k kr which applica(ion is ms <br />296.200 WAC. <br />�� <br />fhis applica(ion .,, �,, <br />// ; <br />FEE <br />efoGeUueand �`�U('-��g <br />completed <br />�e authonty to <br />tion or fho <br />b oerfonn �ne <br />8:27 RC W and <br />