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��D <br />ELECTRICAL pERMIT APPLICATION <br />CITY OF EVERETT PERMIT 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 TQ 4 PM <br />6c,�: �.E �v��-ne,—, n�+n� u�P.y rt s-zo� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />Cily <br />Ciry <br />Stale2ip <br />State2ip <br />Phone <br />Phone <br />G./�c LTiz`�C��-72iC �(J.IJ��.X SZ�% A�L/NG7o<J (U_1.�7i:t.2� �dv-(eS3'C-/35 <br />Electrical ConlraClof Mail Address Cily Slate2ip Phone <br />r-�.r-?/37G% <br />Slate License Number <br />r�=<-ir E^. <br />Proposed Use of Building <br />��uJ �� <br />Contract Price of `Nork <br />Contact Person (Plan Review) <br />Descriplion of Work to Be Done4 /!+Uvic (.,4ri —�-�•'��+i�i•? : r' J� �v �Tcr"i �- /-���=� �Lc.+J <br />Gci%-_�.-1 �; t�.iSr:NnS T-7�lL N,=�tJ ��'�=iU=$ `RGM��D<�i; � <br />NOTE: WIRING IN NON-DWELI.INGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have read <br />conect. A/l provisions o(laws a <br />whether specified herein or not. <br />violate or cancel tl�e �rovisions <br />perlormanceofconstruction. T <br />work lor which application is ms <br />296.200 WAC. <br />this <br />comply <br />� " <br />know the <br />o( work w <br />s to be iruo and <br />campleted <br />a authonty to <br />fion or the <br />o pedomi the <br />8.27 RCW and <br />FEE <br />� c7Gl-0(�D <br />