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� <br />� <br />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.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�y�L �,�JF�%AL Al/_G <br />PROJECT ADDRESS <br />T <br />Owner <br />Tenant <br />Ql�.�oN �f`1oZ ifD�'!� �Gv` <br />Mail Address <br />Mail Address <br />EledricalContractor " Maiinddress <br />l'J�A,F.SGG Z��' <br />State License Number <br />�� <br />Proposed Use of Building <br />Ciry <br />City <br />S JGZZg /'✓�j�JS � <br />Ciry <br />; wA. ��3 �l�-zs�-; <br />State2ip <br />SlatelZip <br />Phone <br />Phone <br />;Gi�_�oll �zI-'�3/-�/'�nbo <br />State2ip <br />Phone <br />� �� <br />Conhact Pnce of Work <br />�%��✓ L��G� e �1//✓DAA,r� <br />Contad Person (Plan Review) <br />CFclq�i�iu� <br />Description of Work ro Be Done: _�N' �� F���J� ����E�K� F�c- �F� ���s�-r FAAI /C'i�I�CG�! <br />F�,C �N�ss �,�,�-r�- �°F�-i'� <br />t;o��o� F� Tn�!-�,�sS a�r�/rEF;�� <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 certi/y tl�at I have read and examined this application and know the same to be true and <br />correct. All provisions o/laws and ordinances goveming this type oI work will be completed <br />whether specified herein or noL The granling ol a permrt dces notpresume to give authonty to <br />vio/ate or cancel the provisions o/any other stafe or local law regulating construction or the <br />perlormance ol ccyrstruGtion. Thaf I am authonzed bV fhe owner of this oronertv to oer/orm the <br />� <br />'' �i �-(� - o � <br />FEE <br />(�CF�U�S - UZ�- <br />