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�- 006 <br />PROJECT ADDRESS <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERf_�T PERMIT SERVICES <br />3200 CEDAR S'�R�ET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�G� /'I1N�� S-T `?'gZ03 <br />_/� c�g v s ���' µ �v r<--_ ��r-�r � ¢z� -�v-�984 <br />Owner Mail Address City State/Zip Phone <br />Tenant <br />1 LS .�G�c- <br />Mail Address <br />Cily <br />Stale/Zip <br />� <br />9�ii l8�7��i ��,;.vc�Yo�i��s <br />Eleclrical Contractor naaii Address <br />/zi�lG i /:� �%�O�' <br />Stale License Number <br />��� <br />Proposed Use af Building <br />Ciiy <br />Stalc/Zip <br />Contracl Price of Work <br />Contacl Person (Plan Re�:iewj <br />Phone <br />3G0 <br />Phone <br />Description o( Work to �e Done: �' /� u-' ' � � �; ,(/-/' �-�. /� " i �/n��� � ,— <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(}� thaf 1 ha��e read <br />correct. A!1 provisions of laws e <br />whether specified herein or not. <br />violafe or cancel the provisions <br />per/omianceo(construction. T <br />work Ior which application is nr <br />296.200 W4C. <br />�am <br />and <br />this application and <br />: fo be frue and <br />completed <br />�e authonty to <br />fion or the <br />o pedomi the <br />8.27 RCW and <br />FEE <br />��70%-(ZCi <br />