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Fpr 14 06 03:02p travis bradford 360 657 1106 p.3 <br />� _ <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-'257-885' — www•everetlwa.org <br />Q-i4�o � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />I "L'Lt� �onip�!� nl L/%r� L <br />PItOJECT ADDRESS <br />/ �J .S� �L� �!,.,�_iJ`� <br />OwnCf Pdoil Address <br />Tenant <br />Mafl Address <br />l�� �- S,-�� �._ <br />Electrical Conlractor Mail addross <br />Slate l.iconso Number <br />S�� <br />Propused Use ot Building <br />Descdption ol Work to De pona <br />Ciry <br />City <br />City <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRFD TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br />I heroby cerii/y fhat 1 hove read and examined thls applic <br />7 <br />�,/ ^, i <br />� ✓ \ <br />c_ <br />��yr <br />Eoboy- �o f <br />Stale2ip <br />SlatdZip <br />SWte21p <br />Contract Prico o( Work <br />Ccnlxt Person (Plan Re��iew) <br />and know fha sarne to be true and <br />ypo of wurk wiq Le cumplefed <br />r not prosume to give authoriry to <br />�egulafing construcfian or (he <br />er of this roperty to perTorm the <br />� cnnln. r.�rs Ca�v 18.27 RCW and <br />`' 11 ��:.� <br />. ��/—��/ <br />� � <br />FEE <br />Phonc <br />Phone <br />P�one <br />