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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDA12 STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />C =Z� ���'tC.��1� \���� <br />PROJECT ADDRESS <br />�� � <br />Owner <br />�t�:�.���vY; . zZ-z3 � �� <br />Mail Address <br />Tenanl Mail Address <br />\����-i��`� `��.c,�v�c_ Cv ��. <br />Electrical Conlraclor Mail Address <br />���L��T ti���� �J <br />Stale License Number '—� <br />Use of Building <br />Description o( Work lo De Done: <br />kl�,G��; C;�'��' � � '� l <br />-� f �. `��� ` <br />.��5 , ' <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 thaf 1 have read and examined fhis applic <br />correcL All provisions o/faws and ordinances 3oveming <br />whether spec�bed herein or noL The c�rantinq of a permrt <br />vio�3fe or �;en�el fl�e �rovisions ol any ofher sfafe or loca <br />Wo�k olr �r �h1 ch�a � I ca�fion�'s n a/ de araid�lecon�� I Z with fhef <br />296.200 NAC. p� � y <br />� ���� <br />City <br />Cily <br />Cily <br />know the <br />o/ work w <br />���Fl c <br />Slale/Zip <br />State/Zip <br />L\Z� <br />Slate/Zip <br />Phone <br />Pnone <br />i Zh Z - �i �1�- <br />Conlract Price of Work <br />Contacl Person (Plan Review) <br />n \ti�,L\ 1 V, \ �i <br />C ��( C.\1 ` �S . <br />e fo be true and <br />complete� <br />ve authonty fo <br />fion or fhe <br />'o perfomi the <br />'8.27 RCW and <br />FEE <br />Phone <br />��O10— I��z <br />