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ELECTRiCAL I�ERMIT r�'�PP�lCAT�QN <br />CI'TY OF EVERET�' PERMlT S�RVICES <br />3200 CEDNR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everett��:a.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />"%1�,� 5_c. �uce�il �vau w`y SP;:3 <br />PROJECT ADDRESS <br />J�c�a� tr�� /y�Z .�� �z�=�� �w�ca.�v E�.i �va- �kzc;k yzr-3sr=�: <br />Owner Mail Address Ciry Stale2ip Phone <br />I Y-1�-�VV1��,�f- <br />Tenanl A1ail Address Cily State/Zip Phone <br />�'�[��H�Jla4L i6"'X, �:S��i rk,�ti.r_• -`�+-,i�r��> �i�a 9�-�Z �izs�3-rzz� <br />Eled�ical Contrac�or hlaii Address Ciry Slate/Zip Phone <br />Sts;e Licensc Nwnber <br />Proposed Use o( Building <br />Conlract Price of Work <br />I}1;�u,�t �/a�?6��J 4zs �r� s � 45,� <br />Contact Person (Plan Review) <br />Description of Work to 6e Done: �e��l.l(ti Ci,.;� j�>ila-� _ <br />NOTE� VVIRING IN NON-C1W ELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily that 1 have read and examined fhis <br />correct. All provisions ollaws and ordinances gov <br />w:iether specified herein or not The granting o/a <br />�aolate or cancel the provisions ol any ofher stafe c <br />perfonnance o/ construction. Thaf 1 am authorized <br />�vo�k lor which application is made and I compty wi <br />296.200 WAC. �? <br />.> _�--. / i�� <br />and know the same to be frue and <br />�pe of K�ork will be completed <br />not presume to give authority to <br />�egulafing consfruc6on or the <br />er ol this property to perlomi fhe <br />Contractors Law 18.27 RCW and <br />FEE <br />