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ELECTRICAL p�RMIT 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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />�-���� C ;ir-�k1-�1����11 ��r��,� �-,�.,; ic�� <br />PROJECTADDRESS <br />�W�ef <br />M�il Atldress <br />City <br />State2ip Phone <br />�-��'lrt��l-� �ii��L�>��-.c�-��U��L�, �yfr�ekl t�1p, ����� <br />Tenant MailAddress Ci,y Sfate/Lp Phona <br />� �c,� �.�c � ���xkr��c. ���t��� �1-4� ��� ��.Fe—�l��r,l —(a�-�i- -.l,liA �P�r � 1�1-� <br />ElecWca COnUaCIOf MailAddress City Stnte2p Phone <br />�'� I C�� I LL��1,3`��7C`7 l p� i�C7 <br />State License Number �ConUact Price oi Work <br />�m c.� I 4-� -I�.r��� � t <br />Proposed Use oF Building <br />� 7 r1�� �� <br />Conlact Person (Plan Review) <br />�escripfion af Work lo Be Done: l � l' \ l,� .l � 1 l I '/ CJ L I � �>= -�� r ic.� <br />��iP� �`f ���Ll! � <br />NOTF: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SAL[S TAX CODE iS 3105 <br />1 hereby certily that 1 have read and axamined Ihis appfication and <br />correcf. All provisions o(laws and ordinances govemmg fhis type � <br />whefher specdied hemin ornot. Tha gran(ing o!a permrf does not <br />vrolateorcanceilhe pmvisionsolanyotherstateorbcallawregu <br />pedom�ance of consWc(ion. That ! am aufhonzed by the owner o� <br />work /o� whir.h applicalion is made and I comply wdh the Sfa(e Coi <br />296.200 WAC. <br />FEE <br />U�e same fo be We and <br />k will Ge canplefed <br />me to grve aulY.onty to <br />consWdion o� fhe <br />iropertyfopeAannfhe <br />rrs Law 18.27 RCW and <br />�� ��� � �, ) <br />