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ELECTRICAtL PERMIT APPLICATION <br />CITY OF EVERIETT PERMIT SERVICES <br />32G0 CEDAR STREET, EVERET"i , WA 98201 <br />425-257-8810 - FqX 425-257-8857 — www.everettwa.org G`G _ O� <br />I <br />/aPPLICATIONS AFtE ACCEPTED FROM 8 AM TO 4 PM G e�(�O(—Oy (� <br />�-i,�� �oNoJ;:;J (i��� <br />_;�L'1 <br />PROJECT ADDRESS <br />� -Z�h Sr (�n 2rN � �s <br />Owne� Mail Address <br />Tenanl Malt Address <br />U L��za C'l,� �i M L � b6Z-� <br />Eloctrical Conlractor Mall Adtlress <br />l3 �'(�l� 1� V Cl � I N'i <br />Descriplion of Work to Be Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQI <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 31 <br />1 hereby certifylhat f have read and exomined fhis ap� <br />conect. All provlslons ollaivs nnd ordinances govem� <br />whothorspocified herein ornot. The granUnp of n per <br />violafe or cancel lhe provlsfons of any othersfate orfc <br />performance oI constniction. The� I am aufhonzed hy <br />work lor hfch application is made artd 1 comply wltft t <br />296.200 AC. ^ <br />\ <br />J .�_�_ <br />v— <br />�,__�..._ <br />Gty <br />City <br />F'' ��V,o <br />Cuy <br />State2ip <br />StatefLlp <br />W D ��ZZ� <br />sia«.2iP <br />Contract Price of Work <br />Contact Person (Plan Roview) <br />(W 1��- �[D L�vkr�� 'C'�,,,.�G-t,t, ��► � <br />TO <br />and <br />� <br />FEE <br />same to 6e (rue and <br />'ll be completed <br />fo c�ive au(hority to <br />slrucfion or tha <br />erty to porfarm the <br />.a w 1 B.27 RCW and <br />Phone <br />Phone <br />Phonc <br />t•d 9Dil L59 D9E p�o3pe�q sine�q e0T�L0 90 90 ���C <br />