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Nov. 7. "[012 3'37A�9 <br />. No.S813 P. 3 <br />ELE�TRICAL PERMIT APPLIC�`,YION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 l��8_� Z <br />425-257-8A10 - FAX 425-257-8857 - www.everettwa.org � ia ll-��{ <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />- � g d % I� O�D a �f7 Yl �/ P,✓� � �- � � �C� � <br />PROJEC7nDDRESS <br />oWne� <br />Tenanl <br />Eleclrical Contractor <br />.."' � � i� <br />f�tail Atldress <br />Mall Adtlress <br />I'�15 <br />M�il nddresn <br />�]•NEA Dl f��j <br />Stale License Numbo� <br />Proposed Uso of Buddmg <br />descrlplion of Wnrk to Bo Dono: C I�e1 � <br />NOTE: WIRING IN NON-DWFLLINGS IS REQUIRED TO <br />BE IN RAC[WAYS, MC OR /1C CABLE. <br />CITY OF EV[RE7T LOCAL SALC-S TAX CODB IS 3105 <br />Clly <br />City <br />Clly <br />_ �f�� 73C� i � <br />SIaId21P Phone <br />�Ia1c/Zlp Phone <br />SIafBIZlp Phone <br />� � .--- <br />Controct Pnce of Work ' <br />Conlact Person (Plan Review) <br />�"�� , `,�` `�':���f. <br />1 horeby corG!ylhqt / have read nnd exominsd lhis applicalion ond know!!m snme to bo (rue and <br />conocf. All provisions o(laws nnd ordinancos govorNng this fypo of wark wdl bo conrp/ofetl <br />wholnor spocifiotl l�orein ornoL Tho nienfin4 o/a pemilt doos not rosumo to giv� aulhori(y �o <br />violato orCancol0�o provisions ol any olhersta(o orloc011aw ropuPolingpconsln,clion or fho <br />� or�k%awlrl ch a plicaf on Is mado und I co� p/y wifh fhe Slalo Cor�(roc(orspLa�v 18 27 RCW and <br />296.200 WAC. <br />FEE ^� <br />�OvV <br />� l�l l ^�S� <br />