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� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 %�a,►-/� <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org � �007-o�j � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�'Gio F�ert�-ii- YYl�ll �„�wy S�;}e �`�vo <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />City <br />City <br />Stale/Zip <br />Stale/Zip <br />Phone <br />Phone <br />5}�.�'c. Gle��-�;c.�,�c. �j�o�� zi°��` �ca-� c�-�o,�.ry, ���A-�1� 753-N(c8'-3 <br />Eleclrical Contrecto� Mail Address City State2ip Phone <br />STq-TLr�=951G� <br />Stale License Number <br />,� Iu�S�cor�S�R�IzS�orf <br />Proposed Use of Building <br />Description of Work to Bo Done: I� lucaj-� /l� � re- <br />�ItZUU, UO <br />Contract Price of Work <br />c��1%n Q �Y��'ISon <br />Conlact Person (Plan Review) <br />�UC�� � ^ �Z("i��$�i �nv12� � �5 YICW [fC'l3 �t-or [^fCP017.C�eS� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerli(y that 1 have read and examined fhis <br />correcL All provisions of /a�vs and ordinances gov <br />whefher specilied herein or noL The grantinc� of a <br />violate or cancal tho rovisions o/any other state c <br />perfom�ance o(cons�ruction. That 1 am authonzed <br />wcrk Ior which application is made and 1 comply wi <br />296.200 WAC. <br />iow the <br />wodc w� <br />`7-Z I - Zolo <br />�n'�y�14 _ I Y 2 <br />s fo be frue and ,� �V I 1 <br />completed „ I CU� <br />�e authonry to � <br />�ion or the <br />o peNorm the <br />8.27 RCW and <br />