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ELECTR[CAL PERNIIT APPLICt4TION <br />CITY OF EVERE�'T PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — ww�v.everettwa.org <br />APPLICATInNS ARE ACCEPTED FROM 8 AM TO 4 PM � � p. <br />/Z—.-/— �' <br />/ i C ` � ' / ., c _ �,. '.: _ - . . .. � ., L . <br />PROJECT ADDRESS <br />t��<>���� , . : � �C <br />Owner Mail Addross <br />Tenant <br />�-,_- .�," <br />Electrical Conlraclor <br />Slale License Number <br />Proposed Us� of Ruildiny <br />A1ail Address <br />Mail Address <br />Clly <br />Cily <br />City <br />--�J,�I L`.'L'-v <br />Slate/Zip <br />Stale/Zip <br />Slale/Zip <br />Contracl Price of 4M1brk <br />Conlacl Pcrson (Plan Review) <br />i . <br />Description o( Work to Dc Done: � `��.�.�` L ' �� �� �� , � -�' .�. , - r--- , � �� '� S r�-'!%�i .� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TA7C CODE IS 3105 <br />I hereby certily fhat I heve read and examined ihis applic� <br />correcL Al! provisions o/laws and ordinances goveming <br />whetherspea�ed herein ornaL The c�ranfing o(a permd <br />violafe or cancel the �rovisions oI any other state or local <br />P ork I�o,rWl�l ch'a � IicartiCon�s n,a7de ar�id�l cono'zedthytheE <br />296.200 WAG pl , PY <br />, � <br />i� � � % ` �l', <br />and kno�v the same fo <br />✓oe o( �sork �vill be con <br />_ .. �. -`� <br />Phone <br />Phone <br />Phone <br />FEE <br />� �7 ^� <br />and ��� � C�� � C�� <br />to � <br />he <br />and <br />� ��_ <br />,_ _. <br />_, j._._.__s , , : _.. .. _��..� _ .�_,. � d.. .::;_,_._ i. aW._.��.:,.�'a.�.,,� <br />. �.aasll�....;; - <br />