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i <br />ELEGTRICAL PEFtMIT APPLI�AYION <br />CIT'Y OF EVERETT PERMIi' SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />50o SE ��J¢lek� ��al� <br />PROJECT ADDRESS <br />Ovmer <br />Mail Address <br />City <br />7 �.30 —o g <br />�-v90 ���-� <br />State2fp Phone <br />Gtas� Roo�c C�s.-l-� Saw.i. �I25� 7<v • iit2 <br />Tenant Mail Address City � Slate2ip Phone <br />�ltS . <br />EI¢�k✓� G�y �tnc 23oog �� � rf,,., tJ Wioe,+�iak.. '(e�rc.�a (,uv1 4'�YS 672�G�97 <br />ElecUical Conlrador Mail Address � City Stale2ip Phone <br />7 <br />�`6,q`f0,cs <br />� l a� �'i .�- � � o C� r4 '` 7.�-�, <br />State License Number Contract Price of Work <br />�e��; i <br />Proposed Use of Building <br />Jri���l.V, h�����c <br />Contact Person (Plan Review) <br />DescriptionotWorktoBeDone: �Q'nah� �w1�i�a W�IN"f� . (,���„�� f- fa.c�i�'%ac.��°: <br />i <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />1 hereby certily that I have read and examined Ihis <br />correct Alfprovisions oflaws ond ordinances gov <br />whether specified herein or not. The granting of e <br />violafe or cancel the provisions of any ofher sfate � <br />performancA of construction. That 1 om authonzec <br />work lo� �.�. qoplication is made and 1 comply w <br />296.20t, r. ' ^. <br />%'_/.1���� <br />and <br />��/og <br />FEE <br />° to be frue and �`� I ll T� I.�v <br />completed <br />re authonty to <br />'ion or the <br />