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ELcCTRICAL PEIZMIT APPLICATION <br />CITY OF EVERETT PERMIT SE4VICES <br />3200 CEDAR STREFT, EVERETT, WA 98201 <br />425-257-8810 - FP.X 425-257-8857 — www.everettwa.org <br />APPLICATIONS A�E ACCEPTED FROM 8 AM TO 4 PM <br />�`�1 �.S (.._vwC.�� �. EVc.RC-=; i, l.J� �1PZD S <br />PROJECT ADDRESS <br />C�;zsJ <br />-S< � i i�cr,v�.R ���5 C.cwcLi 1�i �vEn� �� (�/� 9f�1_�� u,-�o�Z <br />Owner Mail Addrass Cily State/Zip Phone <br />Tenant <br />� �S .� <br />Electrical Conlraclor <br />Slale License �'umber <br />� "�- 2 <br />Proposed Use of Buildinc� <br />Mail Address <br />Mail Address <br />Cily <br />City <br />Stale/Zip <br />Stale2ip <br />Contract Price of Work <br />ConlaclPerson (Plan Review) <br />Description of Work lo Bo Dono: "` N" l. �I U u r (n7 ��� V1l� � I ��''�� �� r(�� �`"` � <br />�� i` �,� �--�_ I�I (I D V U�xi h,�('.� <br />� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABL[. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerii/y iha(1 have read <br />co�recL All provisions ollaws a <br />whether specified herein or not. <br />violate or cancel (he provisions <br />perfonnanceo/conslructlon. L <br />work 7or which applicafion is m� <br />296.200 WAC. <br />this <br />comply <br />know the same to <br />oI work will be con <br />pl'CSIIR7B f0 alV6 a <br />(1 <br />end <br />i0 <br />and <br />FEE <br />� Ci1Crl ��C' <br />Phone <br />Phone <br />