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� <br />� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SCRVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8?57 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />l�%ZO � l/P�P � i,rIALL (it�.q-�j <br />ti� <br />PROJECT ADDRESS <br />Owner <br />Mail Address <br />4�a�i--o5 <br />�0��%"��Z <br />%zs`-3rr -o�'r� <br />State2ip <br />Phone <br />[ _A �7+']C���iv�,g �rs7rfi.�t�T r.n�c <br />Tenanl Mail Address City SWle2ip Phone <br />��r i.✓ !�n A <�z �'�1 r�T✓F ..(�/GnJ / 9Y// � � � 9✓-�- <br />Elecirical Contraclor Mail Address City Stale2ip Phone <br />�1!�6.u� � nq�og � � <br />Sfate icense Number <br />/�E (1w�✓ Q n_ NT <br />Proposed Use of Building <br />� �DO <br />Contract Price af Work <br />11/lilLe (sPS�ik <br />Contact Person (Pla eview) <br />DescriptionofWorkloBeDono: �NlTkl �I ��� /l��/��aa%�� /-��-('�' _�GI�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 3105 <br />1 hereby ce�tily Ihat 1 have read <br />correct. Al/ provisions o(la�vs e <br />whether speafied herein or not. <br />violate or cancel the provisions <br />peAormance ol cons(ruction. T <br />work /or which application is nr <br />296.200 WAC. <br />J <br />this annlication and <br />m <br />FEE <br />e to 6e irue and <br />completed <br />ie authoriry to <br />tion or the <br />o perform the <br />8.27 RC W and <br />.Si�- ����, <br />