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'�. <br />7"EL 1, ' '� `f 6 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />SL- E�ere� <br />PROJECT ADDRESS <br />Owner <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />Mail Address <br />Cily <br />� � a 3 �d <br />� lOo7-/o� <br />Stale/Zip Phone <br />��-�� c�,a�. qa 5� Eu,.�,� ,u�a �� s��� r� E,�� �a zo� �iz�-- ?9Q - 2q60 <br />Tenant Mail Address City Slate/Zip Phone <br />7e�Ca,�co�. SUS��S Zwc I2 <br />Electrical Conlractor Mail Address <br />TELDASI Y55 Pa <br />Slate License Number <br />�a��sc:m.� <br />Proposed Use of Building <br />City <br />Descriplion af Work to Be Done: �� Ia-�1 Z 1 �� �lQi <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 heieby ceAily that I have read and examined this <br />correct. All provisions ollaws and ordinances gov <br />whefher speafied herein or noL The �ranling of a <br />violate or cancel fhe provisions ol any ofher sfate � <br />P o�k lor wfuch epp6cation �s n ahde end laco'n pty w <br />296.200 WAC. <br />��/ <br />Stale/Zip Phone <br />+�5, Zvo <br />Contract Price of Work <br />S{�.UH �cA.ktC°J` <br />Conlact Person (Plan Review) <br />' know the same to be fiue and <br />ol work will be complefed <br />' presume fo �ive authonty to <br />dating construclwn or (he <br />( tliis property to peAornt Ihe <br />ntracfors Law 18.27 RCW and <br />FEE <br />�►W�--jo� <br />