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ELECTRICAL PERMIT APPLICATION <br />CITY OF EyERETT PERMIT SERVICES � a"I �f �l1 <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-'?57-8857 — www.everettwa.org �III � �g�j <br />APPLICATIONS AFYE ACCEPTED FROM 8 AM TO 4 PM <br />,i� 30 / Ho� <br />PROJ ECT ADDRESS <br />� i/ 4'r' 'icuo / �/wr/ a3o/ f�o.f ,Fs.�c•�f't- �wJA �i �'d�� <br />� �' Cit Stale/ZI Phone <br />Owner Mail Addrass Y P <br />Tenanl <br />Mail Address <br />City <br />StaleZp <br />Phone <br />P/'d�PsS� /' �/r /✓ c j c /'cJf' � Y 5 �i /.., �e•-� L✓ �i'.�'�1 T <br />Electrical Contraclor Mall Address City Slale/Zip Phone <br />/�/�6/%,�/_� 1077,��t <br />Slale f_iconse Number <br />(.r%�� s 6 <br />Proposed Use of Building <br />a2S G'� <br />Contracl Price of Work <br />Contacl Person (Plan Reviow) <br />Description of Work to Be Done: ^�-iGlc� .2 � ��� /� �v �' �/� -• �J � " -- <br />�C�/ua.lr�%' <br />�'_�--Ji r> -�X—�. � ✓o �✓ l' o�� e � ��, /�l <br />, <br />NO'TE: VYIRING IN NON-DW ELLItJGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby ceriily fhat 1 have reed and examined fhis opplic <br />correct. All provisions of laws and ordinances goveming <br />whether specified herein ur noL The granfing ol a pemut <br />viola(e or cancel lhe provisions oI an}� other stato or foca� <br />performance o/construction. Thaf I am aufhonzed by the <br />work lor which application is made and I comply with lho <br />296.200 WAC. <br />� <br />and kno�v the ssme fo be frue and <br />ypo o( work will be completed <br />r not oresume to aive aufhonfy to <br />and <br />FEE <br />�0 -�� <br />� l � �Z-D�lp <br />