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f <br />ELECTRiCAL PERMiT APRLICATIOlV <br />CITY OF EVERETT r'ERMIT SERVICES <br />3�00 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 />(�o�l S� E.,� r�l�t I w�f STr� I o <br />PROJECT ADDRESS <br />�o S r_ �+ Mac,� <br />Owner D ��ddress <br />g,� ,� ►��u� b,e ��: v 6 2 <br />�� G � 5� <br />Tenant <br />Mail Address <br />City <br />City <br />7�3�-1;<� <br />C o G�� �-175' <br />-. �1� Ge208 <br />Stale2ip <br />Slate/Zip <br />Phone <br />Phore <br />iC� W1 �ce.��rL c. �?�t L� �(ts�5�f- C--�-� � In1A- R� Za I <br />EleclriCal ConUactor Mail Address City Slate/Zip Phooe <br />lL(�1��LEc a7 ��i I <br />State License Number <br />K� �� S �i�l v�n <br />Proposed Usa of Bu Iding <br />Descriplion of Worl: to Be Done: <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 3105 <br />1 hereby ceriily ihat 1 have read <br />correct. A/l provisions o(laws a <br />whether specified herein or no!. <br />violate orcancel Uie provisions <br />porformanceo/conslr�ction. T <br />work lor which application is mz <br />296.200 WAC. <br />this annlication and <br />ao � <br />Contr ct Price of Work <br />Contact Person (Plan Review) <br />S <br />s to 6e true and <br />completed <br />ie authodty to <br />tion or fhe <br />o perform the <br />8.27 RC W and <br />FEE <br />�OCoG7-17f <br />