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FLECT�ICAL, PERI'dIIT APPLICATION <br />CITY OF EVER�TT PERM�'' SERVIGES <br />3200 CEDAR STREET, EVERETf, WA 9820'i <br />425-257-2810 - FAX 425-257-6857 — wv.nv.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />, <br />j� ! <br />�.� u'7_J.'iro� T., <br />PROJECT ADDR SS <br />% �'� �' � <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />City <br />City <br />State2lp <br />Slale/Zip <br />Phone <br />Phone <br />��<' T�lc �� c .�.Ull 73 SrsG ���e.� �% cv fi- 9k'bs Yzs 33ss�s-T <br />Electrical ConUaclor Mail Address City Slate/Zip PFone <br />;`).,��T �� � � o zz �3 z <br />State License Number <br />R� s. .�.,r <br />Proposed Use of 6uilding <br />�liG'� <br />Contract Price of Work <br />Conlacl Person (Plan Review) <br />Descripfion of Work to Be Dono: / e �/c � - ��c .✓ � St /� �-t _ <br />^�.-r- , c 4 il%/ �l �*..i� L�J<..,c..�� - - <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERE7Y LOCAL SALES TAX CODE IS 31G5 <br />f hereby certi/y tha( I have read <br />correcL All provisions ollaws s <br />�vhefher specilied herein or not. <br />violafe or cancel Gie provisions <br />perfomiancoo(constniction. T <br />�vork !or which application is mc <br />296.200 WAC. <br />fhis application and Ano�v tlie <br />novemma this type ol work w� <br />� to be frue and <br />complefed <br />�e authonty to <br />fion or the <br />o pedomi !he <br />8.27 RC W and <br />�� <br />_ �, S� ,.� ��—�'->c>ll <br />FEE <br />�//� � � =' % <br />