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ELECTRICAL PERMIT APPLlCATION <br />�ITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLlCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />/� 1 L� L oY ��1�-1 �,r�N�!�_ �o�C.D ����� � <br />PROJECT ADDRESS <br />C � �tial <br />Owner <br />Tenant <br />�'-' � �� %l C13 <br />Eleclrical Contraclor <br />Mail Address <br />�C��LSE" � � <br />Mail Address <br />;(l.�G. jjG'<- <br />Mail Address <br />� k� �J cS.i � ��� 17 Z' <br />Slate License Number <br />I (f�l�\ �llJ <br />.!� <br />Proposed Use of Building <br />Descriplion of Work lo Be Done: <br />� �tt �JT l���i �' - <br />City <br />Q uJ <br />U,nirt�l <br />Y9T��✓s "/� /,'�li.� <br />��/v'�, �,� <br />State/Zip Phone <br />�:�, -f"o Si'T,�". <br />Slate/Zip Phone <br />r��- i�.'-,..,, i,.,_s,�. <br />City State/Z�p Phone <br />UN,:�QZ,�S(��L �T�� <br />Contrer.t Price of Work <br />Conlact Person (Plan Review) <br />7a /1��1 ,�r�r--r�c � <br />� p«r�� , I � �ie���Jq;�. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS. MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX Cf)DE IS 3105 <br />1 hereby certily that I have read and examined this applic� <br />correcL All provisions ol laws and ordinances governing <br />whether specdir.d herein or noL The �ranting ol a permif <br />violate or cancel the provisions o( any other state or local <br />performance ol construction. Thaf 1 am aufhorized by the <br />work lor which application is made and I comply wilh fhe <br />296.200 WAC. C\ � <br />and know the <br />ppe o/ work w <br />not presume <br />FEE <br />s to be true and <br />completed <br />ie authonty to <br />tion or tiie <br />o pedorm the <br />B27 RCW and <br />EoS�-�zs <br />