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� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 /� � aD'-�!� <br />425-257-8810 - FAX 425-257-8857 - wv�w•everettwa.org <br />�o� ►l- l02 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />('�700 Har��Sor 4�oa� �ver��� W^• 9�Z�3 <br />PROJECT ADDRESS <br />owner <br />/�41 A 4z'� � <br />Mail Adtlrecs <br />City <br />� ZoJ�� <br />5'filiz 443-32 <br />State2ip Ph°^e <br />(�"n n[� 1' i C`� �, �GUf��nl'e�sc�� ✓(� �iir� � k/,v. i SZ03 <br />Tenent Mail Addreas � Ciry Stalc2ip P�� <br />�y 25)SSS-' <br />`1-r1- Nar �ac . PC�, �xl $ �=�r� r� �Vn, 9X073 - <br />Electrical Contractof Mail Address City State2ip U� 1 g ptw^e <br />�`9 � UUO- v o <br />T6� I N A�� l� 2 KH Conirxt Price oi Work <br />Steta License Num'.�er <br />l.N 't -c P } / l0/lu � � / i'i i� <br />Proposed Use of Building <br />Description ot Wark to Be Done: <br />ContactPerson (PlanReview) <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certi/y thet 1 heve read end examinad this epplicafion end know the seme fo be true and <br />correct All provisions of lews and ordmances govemmg fhis type of work will be completed <br />whether spemfied herein or not. The granting ol a pertnR does not presume to give aufhonty to <br />violete or cancel the provisions o( eny other stafe or local low 2gulatingP onPsef y tio� rthe <br />peAormence of consirucfion. Thef I em aufho�zed byAhec°ioie ���i ���rors L�a v 1827 RCW and <br />/ q /1vo <br />r, <br />FEE <br />, -,� � � -- �,f ' <br />��- <br />� <br />