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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 982Q1 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED PROM 8 AM TO 4 PM <br />�f � l Fc�2,G l Fv� � rr r.�A `� � 3�� <br />PROJECT ADDRESS <br />�`TEc.0 11,2//<_. �/�iJ l FKi/��c( F_(X�'1-6T/ �,�„� <br />Owner Mail Address Ciry State/Zip <br />Tenant <br />Mail Address <br />S,liJ�12E%� C�6<_-7'Zi� <br />Conlractor Mail Address <br />City <br />So ,� o /�Y7� sT <br />City <br />�St�LLA Sf `i�i'�� l ��7�Z <br />Stale Ucense Number ` <br />�^/ i <br />/�-C�� //:�/'.!_.� <br />Proposed Use of Building <br />State2lp <br />6-r-�i <br />Cirab-o0� <br />Phone <br />Phone <br />State2ip Phone <br />y�s— 3�-s ��a� <br />,p��-r . �`p <br />Conlract Price of Work <br />Conlact Person (Plan Review) <br />Descriplion of Work to Bo Done: �/�,C, /�rY'� l`.�3 �i%V l�j/L�1 � 6S� /i ��_Z(`J�_ <br />/l�F� c.✓ �/ �i�V �l��..rrS2—///L� l <br />NOTE: 'NIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that 1 have read and examined this ap�lic� <br />correct All provisfons o(laws and ordinances govemmg <br />whether specified herein or noL ThQ granting of a permd <br />viola(e or cancel the Arovisions oI any other state or local <br />perlomiance o/ consfruction. That 1 am authonzed 6y the <br />work /or which application is made and 1 comply with the <br />296.200 WAC. <br />_, <br />��..__��� � <br />know the same to be frue and L I ���— V U� <br />o( work will be completed <br />presume to give authnrity to <br />�1 <br />