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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETi', WA 98201 <br />425-257-6810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AK TO 4 PM <br />�O �VU'c� l�a.�� W�w �'VUe�' I.J� 481Oy <br />PROJECT ADDRESS <br />13;11 T��-�'le �ll� ��c�,inier Ave S Sc�.ff'�r cve. �81�ly 2o6-<Ss-I- <br />Owner Mail Address City Slate2ip Phona <br />�.KGor ,�'�� 2o cu�reif Mal( Wav Evelttf" 4J� 98�o�i <br />Tenant Mall Addross Clly Stale2ip Phone <br />y2s <br />Mail Address <br />cp: g s�. 3 <br />Slate Lico e Number <br />�L �. �(J �o u f' <br />ProposedUse Bullding <br />Clly <br />Slate/Zip <br />f ��� <br />Conlrecl Price of Work <br />K:v.. u.. - adl <br />Conlacl Perso (Plan Review) <br />Descdption of Work to Be Done: GOn�v�.'� ��WP� 1 O l�i�uJ .si Q Y1 � <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 cerlily tliaf 1 have read <br />correct. All prov�sions ollaws a <br />whelher spec(fied herein or not. <br />violafe or cancel ihe provisions <br />pedonnance o(construcfion. T <br />work lor which application is mc <br />296.200 WAC. <br />fhis aonlication and <br />23 <br />e to 6e true and <br />complefed <br />ie authorify to <br />tion or the <br />o peRorm the <br />8.27 RCV✓ and <br />FEE <br />� 0�96�c� -1-1�1 <br />Phone <br />