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ELECTRICAL PERMIT 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 <br />ADDRESS <br />�l -r LAmaiveg-r- <br />6wner <br />14, LAC <br />Mall Address <br />► lsf► mml <br />City <br />kp <br />StateoP <br />Phone <br />Tenant <br />Mall Address <br />City <br />State2lp <br />Phone <br />�2L9 <br />Electrical Contractor <br />Mall Address <br />city <br />State2lp <br />Phone <br />YAP, Nr_16_r 14 <br />State License Number <br />Co trail Price of Work <br />Ris'p I i4 iP4/, <br />i <br />Proposed Use of Building <br />Contact Person (Plan Review) <br />Description of Work to Be Done: <br />W/W e S• tr <br />/ <br />l� .-r �U %` <br />) <br />(Sri of iL %g �9 <br />sg �r <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IB 3105 <br />1 hereby certify that I have read and examined this application and know the some to be true and <br />corraft All provisions of laws and ordinances govemingg this type of work will be completed <br />whether specified herein or not. Tha grenting of a perm7t does not resume to give authority to <br />violate or cancel the provisions of any other state or local law regufatlnsgPconstruction or the <br />work for which appll evon Is madet and I authorized with tthe State Coringl orrsspLow 18 27 RCW and <br />90a onn wee <br />FEE <br />v� <br />�C26 _ <br />coo/ coo In 0IN.L0T13 THINBPA 0£9L9££9Z6 Wit 00:11 0T0Z/T0/90 <br />