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ELEC�"RICAL PEF2�IIIITi APPLICATiON <br />CITY OF �VERETT PERMIT SERVICES <br />°200 CEJAR STREET, EVERETT, WA 98207 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />,� ,� c-,�. , ;.� <br />C�� � J � �',�: -sl //%/�.�1 (l�`I� � ' � <br />PROJECT ADDRESS <br />Owner <br />� <br />CJIc� �L��'b�� <br />Tenant <br />� ��.�r,L'rL , %� � <br />Electncal Contrador <br />State License Number <br />� ��.�1 <br />Proposed Use o( Building <br />Mail Address <br />� ! x�l,C/ <br />Mail Aatlress <br />Mail Address <br />City <br />City <br />Clty <br />Stale2lp <br />SWte/Lip <br />State2ip <br />Phone <br />Phone <br />Phone <br />�.-__�_��"= YYv�-u� <br />Contract Price of Work <br />ConWct Person (Plan Review) <br />Descnption o( Work to Be Done: i�'7 �. � 1 n n'�, �'�/' � �� c.rf� ��: ��� s � � � '�� 9'✓ �'%� �7 � /, � � J= /�:�, <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERET � LOCAL SALES TAX CODE IS 3106 <br />I heraby ceAily that I have read <br />correct. All provisions o/laws a <br />whetherspecified heroin ornot. <br />violefe or cancel fhe provisions <br />peAormanceolconstruction. Ti <br />woik /o� which application is m� <br />296.200 WAC. <br />(his app6cafion and know fha same fo be truo and <br />govemmg fhis type ol work will be completed <br />�/a nermd dru3s nof inesume to oive authollfV f0 <br />1 comply <br />and <br />FEE <br />, ��, <br />,�i�'`1 <br />�; <br />