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� <br />ELECTRIGAL PE�ttVli� ,O�P�LIC�►TIOld <br />CfTY OF EVERETT PERIViIT SERVICE� <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-II810 - �AX 425-257-8857 - tiwrw.everettwa.org <br />APPLICATIONS ARE ACCEP?ED FROR18 AM TO 4 PM - DEBIT & CREDiT CARDS ARf° NOT ACCEPTED <br />��i'(�2 � �,�1-%% I'✓lY��%�-�;T ofi�G �CZ <br />PROJECT ADDRESS <br />Ovmer <br />htail Adtlress <br />City <br />SfalelLp Phone <br />�`i.f� Nr�-V�I _S�-m� � �-�g�d� � � � � I � I I <br />Tenant MailAddress City Slale2ip Phone <br />��� <br />% n,�� �t�n�2 Fa ri-�i�v �nJL. ,�-�` �I �RiN� RV� �Y�:�EI T 4iE�Zol .3r7� <br />Electncal Contractor Mail Address <br />C��CR.��.�q`�3i�'/ <br />State Licerse Number <br />RcT�i� <br />Proposed Use of �uilding <br />Description of 1Nork to Be Done: <br />Cily <br />Swte2ip Phane <br />`�j OO�C00 <br />ConiraU Pn� of Work <br />�%_Y�.7���j qrn iJ <br />Contact Per.,cn (Plan Review) <br />r <br />• <br />L 1 1 . i� i 1 i/ % s� � <br />NOTE: WIRING IN NON-D:'VELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CIT.' ur E: ERETT LOCAL SALES TAX CODE IS 3105 <br />! hemby ce�fi(y fhaf I have mad <br />correcl. All provisrons ollaws a <br />whether speci(ied he�ain ar nof. <br />vio!afo ar cancol tho pmvisions <br />peAormanceoJconsl�uction. T� <br />work for whrch application rs m� <br />2�6.200 WAC. <br />this applicution and <br />!aw <br />s to ba fine and <br />compleled <br />ve aufhonty to <br />Iron or Ihe <br />= �.j� ',1 �� �-t%'�5 — <br />Sipiatum Date <br />FEE <br />/��� ' <br />/� v ! <br />��g <br />�� <br />