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0 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS l�RE ACCEPTED FROM 8 AM TO 4 PM <br />� �� �j r[—y {{ti� �� i l li.) c� S� 2— <br />PROJECT ADDRESS <br />2u�o ��1 S u-� <br />Owner <br />�bU SI; <br />Tenant <br />'�ror�.i �� <br />Mail <br />-- �,1 c��� 1 C,J <br />Mail Address <br />� F`%-C�I C'L �(` � � � <br />Confraclor Mail Address <br />�/ Pti�! F�r- c•� c, �� J 1 <br />Slate License Number <br />�=1M t+n1-t;''�-\ h-� <br />Proposed Use of Building <br />Description of Work to 8e Done: � n����`� <br />,� �' i .. C _ _ _ _ <br />UC O 1 l�d �'- v.] p�.. �L <br />�' <br />� ci i w �-2 �--cil�� <br />City <br />�c� <br />��.�eQ E�t f-f�,� /1?c�l <br />City <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 ceifily that 1 have read an� <br />correct. All provisions o/faws and <br />whefherspecifiedhereinornoL Ti <br />violate or cancel tho provisions of � <br />performance o(consfruchon. That <br />worklorwhich epplicr�tien is made <br />296200 WAC. <br />this application and know the <br />novemina fh15 tVOe o(VYork w <br />SWte2ip Fnone <br />Stale/Zip <br />State2lp <br />� <br />�{Z� <br />8 olZ 359-(� <br />Phone <br />� J � U"l70 . `�� <br />Contrect Price of Work <br />1M-1k� � o � � S <br />Contact Person (Plan Review) <br />FEE <br />I 3Z5 `� <br />: to be true and � � Z � l-'} '�7 � <br />completed <br />�e autliority to <br />tion or fhe <br />o perfomt the <br />o �-, o��.<....a_., _ _ __ �_ _�_,.-._ .. __ <br />