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Fab 16 12 09:42a Rammtic 4257751276 p.1 <br />� � � <br />/�- �` U-, �: S <br />-11�1 �u`-� <br />ELECTRICF�L PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 • <br />425-257-8810 - FAX 425-257-6857 — wwvv.everettwa.org a�/6 --I Z <br />AI�PLICA'nONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />r���� � r��..���t �;�.���� �� <br />PROJECTADDRESS <br />Owner <br />c zlb'�' SI S� <br />Mail Address <br />ciy <br />StalelLip <br />E lzo 2-067 <br />�� <br />1.�� ?v:w ) <br />Phone <br />_��C. � Grl ♦ <br />Tenant Mail Address Gity S�a�eJZ�P Ph°^e <br />Ele� a Contractor Ma� Address City SlatelLp Phone <br />State License Num6er <br />Proposed Use of Building <br />Description oi Work to Be Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQU�RED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3'105 <br />read and examined ltris <br />Conlract Price of Work <br />Con1aG Person (Plan Re�iew) <br />cafion and know the same to be !u¢ and <br />? this type of work tvill be canplatod <br />if does notPresume fo give authority to <br />a!!aw regulaL'ng construcfion or the <br />re owner of fhis praperty fo perform fhe <br />; Slatv Conliactas Law 18.27 RCW and <br />z��t 6 _ �z <br />� C/� <br />FEE <br />�� <br />�J <br />L" l z�2 -0�7 <br />