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ri <br />, <br />t <br />ELECTI2ICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 ��� �--� Z <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org _ � u <br />APPLICATiONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ci �U SE �v-e.f�.�' u�a,b� wwy <br />PROJECT ADDRESS <br />��,Js �io cMF�rL�c f?v �8�3 �r«I��1 <br />Ownef Mail Addiess City <br />S�f. ��(� �� h'e `� � C� 5� E �-ue�'� U`�� <br />Tenant ��g dd1e� �q c+ (� <br />tl -""� <br />MtY�cS����,�r��s��, ���.��r <br />Electrical Contrador Address <br />�1e'i-e..�.5�0 ( `.l� �j <br />.ilate License Number <br />Sal� � <br />Proposed Use of Building <br />of Work lo Be Done: <br />�T�1 <br />� � �J�l'd�1q � `� � 4Z <br />City <br />i: �� �i _.0 <br />w�- �'tf�2�(`t <br />StatelZip Phone <br />� �e�� <br />SlatelZip <br />Nnone <br />3�o-'f27-s2� <br />City State2ip Phone <br />� J <br />�Uu `_ <br />Conl2cl Price of Work <br />� vU ��ttic � <br />Contact Person (Plan Review) <br />( S f � a� � 4� G`�O -eltV�t�f �'a <br />�, r-�4 <br />�45 � �� Vv.7��'�`1 <br />iVOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 310b <br />I hereby ceRily Ihat I have read and examined fhis applic� <br />conect. All provisions ol laws and ordinances goveming <br />whether speci�ed herein or,not. The granfing o/a permit <br />violateorcar.cel(he prov�sionso(anyotherstateorlocal <br />wo�rk o rwhl ch appll cratiCon is m�e and 1 c�ro�mply w'th fheE <br />296.200 WAC. <br />�l� `�/ l <br />and <br />l� _ (� _ � � <br />m <br />FEE <br />�D� <br />and � I 201 I r-/ 1Cf I( <br />V L �-E� <br />to � T 1 <br />and <br />