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ELECTRICAL PERMIT APPLICATION <br />CiTY l�F E:VERETT PERMII" SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 g_ a�l _N <br />425-257-a810 - FAX425-257-8857—www.everetiwa.org ��/OgvI�U <br />l <br />APPLICATIQNS ARE ACCEPTED FROM S AM TO 4 PM <br />C � 0 S���G�t ��, (�l c�/ <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />,�r _ :�gz.9 � <br />Mail Address <br />Mall Address <br />( h��. -L I�e,�C r.�.e �`i v-� n�ves� i d <br />Electrical Contractor Matl Address <br />�h��, EI�IyO�I� <br />Stale License Number <br />C avr� vft P.��- I TI <br />Proposed Use of Building <br />City <br />/'� <br />Stale2lp <br />Slate/Zip <br />w LF <br />en ) <br />Stale2ip <br />����a � 3 <br />Contra Price of Work <br />1-"3H5� <br />Phone <br />Chone <br />�`� <br />,,., h-�. <br />Contact Person (Plan Review) <br />Phone <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 certily that I have read and exarnined this <br />correct. Afl provislons of laws and ordinancss gov� <br />whether sNeci�ed lierein or not. The granting ot a <br />violateorcancei(lia provis7onso(anyothersfatec <br />performance of construction. That 1 am aufhonzed <br />work lorwhlch appllcation is made and 1 com.aly wi <br />296.200 WAC. <br />s to be true end <br />completed <br />ie authonty to <br />tlon or the <br />o perform fhe <br />8.27 RCW and <br />FEE <br />/���5� <br />