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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 cf� <br />425-257-8810 - FAX425-257-8857—wvvw.everettwi.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM CF <br />�V7n 2 #vYT 141F yt7,�c <br />PROJECT ADDRESS <br />(,, T v �r Lyexcrr 3� CF—OAR 5: Eyc:6z77 4 '�� Q P &V 6 <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Addresa City State/Zip Phone <br />Electrical Contractor Mail Address City <br />22 <br />Stale License Number <br />L I'AxA Y <br />Proposed Use of Buil ing <br />Description of Work to Be Done: <br />StateFLip <br />Con(ract Prce of Work <br />Contact Person (Plan Review) <br />5ZO-a3 <br />Phone <br />��t/fit,'T �Yi�✓.%LDl t��f: (�/�' /�b`�-Gtli4%� L(i <br />�SFI) T JC !may <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS. MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TkX CODE IS 3105 <br />I hereby cearty that I have read <br />corroct. All provisions of taws a <br />whether specified herein or not. <br />violate or cancel the provisions <br />Pahl' <br />of construction. 7 <br />work for which application is mi <br />295.200 WAC. <br />this application and know the <br />anvemino this tune of work w <br />FEE <br />s to be true and 'D 10q - j Z (-O <br />completed <br />te authority to <br />froo or the <br />o perform the <br />8.27 RCW and <br />L'd £9ELL9L09£ <br />dwnd uetuNe0 e9U L L !. L 07, deS <br />