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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 1 Z <br />425-257-8810 - FAX 425-257-8857 — vvnv.everettvva.or9 O S/ 2 — D 6 v <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />—Im l-�DI�SOyt iZr�. <br />PROJECT ADDRESS <br />COMMLWI <br />-tiLA-+.►� � r �-roo L� aem� � F <br />Owner Mail Address <br />As Zzoi-i tz . <br />Tenant Mail Address <br />WA 9 <br />City State/Zip Phone <br />Gly State/Zip Phone <br />SEI.r- PRE Fwswv _P <br />Electrical Contractor Mail Address Cip State/Zip Phone <br />�•[ I �QO , =- <br />��Stile License Number Contract <br />_Piice <br />� off Work <br />Iy`�{�i�� �' A[1W11571?.�"f(171 Y1LllYil`_ ta7�DQ1i►.� _ <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: �e -�� �( � � QCA � <br />CES C61A0L1-1 .d, =G0YQ5 ITD oat1rJw 1:7C _ AQL GivWtlsr.�T <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. $6C dD <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that 1 have read <br />correct. All provisions of laws a <br />whether specified herein or not. <br />violate or cancel the provisions <br />performance of construction. T <br />work for which appiica 'on is mi <br />296.200 WAC. "\ , n <br />this application and know the same to be true and <br />govemtng this type of work will be completed <br />if a pemitt does not presume to give authority to <br />1te or local law regulating construction or the <br />ized by the owner of this property to perform the <br />Iv with thn State rnntmrton Law 18. 27 RC W and <br />- a-los <br />