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ELECTRICAL PERMIT APPLICATION <br />CI�'Y OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX �25-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />;a�_?� > L✓t��� �li/�;2 %c'!� <br />PROJECT ADDRESS <br />�i - ', Y � �, <br />�: e,�(.r? y-14 5 <br />� � �4 4 �/ <br />� f� j .k�.f= -1�,�1 /�� � c�(.'�" �� � tfi-%lu ��L.� �L n �` U �U /I <br />Owner Atail Address City State/Zip Phonu <br />Tenan! <br />Mail Address <br />City <br />StatelZip �/�S- Phone <br />�'�1��A��i/��"h SC_C �L�ul .Tr�' -�/ �cll ����j �sy Z,G� <br />Electrical Conlraclor Mail Address City Slala/Zip Phone <br />l��L�1 �U.("�`� f� L i� /� c��. c <br />Slale License Number Contracl Price o( Work <br />%�,��� � /. f' <br />Proposed Use of Buildin9 <br />Contacl Person (Plan Review) <br />� � <br />Description of Work lo Be Done: _/� �� %-�' l/i. L�����l���� L ll��C ��1,'I 1 ��' t�'����u <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN FACEVJAYS. MC OR AC CABLE. <br />CiT�Y OF EVERr � T LOGRL SALES TAX CODE IS 31D5 <br />! fmrebv �:ertiJy ihal ! l�zre read and esarnined U�is <br />con�ecL iall provisiona• el laws and orAinmices gov <br />wiietl�er specdied hr.rei�i cr neL The gran;ing ol a <br />6'IOI3(C or cancel (he provisia,rs olany ofher slafe i <br />peAomiar.ce olconr�lruction. That i�rn authonzec <br />work �or which applicafion is made and 1 compty w <br />296.2J0 WAC. <br /><%//; / �✓ " �. <br />�v <br />and know fhe <br />ype of work �v <br />e to Ge true and <br />complefed <br />�e authonty to <br />fion or fhe <br />'o pe�lornt the <br />'8.27 RCW and <br />FEE <br />�` � 0 �; <br />k���i -�`LS <br />