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',;;y,;l, 2i!12 �,ii2AM� Wes! Coast 6usiness Comm inc <br />� � �LC <br />� <br />-^ ? <br />'�o. u��9 F. <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SEI2VICES <br />3200 CEDAR STREET. EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.evereriwa.org <br />APPLICATION3. 4E ACCEPTED FROM S I1M TO 4 PM <br />�OO �- S c � c�- Ma.\\ Wc��� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Eledrical Contraclor <br />Mail Address <br />�dail Address <br />Mall Address <br />, � �..a���� <br />Slate License Number <br />r e,.'� <br />Prapo Use of Buildiny <br />I, Square� oot2ge (If residentiai new constroction, temodel or addition) <br />iDescnption of Work l0 6e Dane�. _(� .�'T V. <br />I _ — <br />NOTE: WIRING IN NON-DWELLINGS IS REQ'UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CI7Y OF EVERETT LOcaL SALES TAX CODE 13 3106 <br />I hereby cerfrfy fhat 1 have read and exsmined fhis appliC <br />cor�ect. Al/ provisions of laws snd ordinances govoming <br />whother specified hc,rein or not Tho granting o(s permrl <br />iviolafe orcancel the P�'avisions ot eny otherstate orloca. <br />wo�rk�lor wh�ch appl ca on s made and 1 con ply w ih lhet <br />i 296.200 WAC. <br />IL n <br />snd <br />Cfty <br />City <br />City <br />�� <br />�� <br />� � <br />��M"� i.�5 _ I Z� <br />SlstelZ�p <br />Stat�p <br />^� oO.00 <br />Conhact Price of Work <br />Cont2ct Person (Plan RevieW) <br />: to be fruo and <br />complefed <br />�o authonty to <br />tion or the <br />'o pedorm lho <br />' 827 FC W and <br />J J <br />�� <br />�0.�0 <br />V <br />Phone <br />Phone <br />Phone <br />