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L n��lil _ <br />ELECTRICAL PERMIT APPLIeATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8d10 - FAX 425-257-8857 — wuvw.everethva.org <br />APPLICATIONS ARE ACCEPTED FROM U AM TO 4 PM <br />T:Ma r � De(: <br />a -a8—(� <br />����� �'O <br />, <br />K�� <br />Pho��y� � <br />Phone <br />y�1 <br />�8�— ��k-3�6 . <br />Phone <br />�� co / F M—PPq ' �-9/� � v e ►�vc�.tl ulo.Y �ver..�F W ,�- 98�3 ' �. <br />p�y�ef Mail Address ty State2tp <br />Tenant <br />Mail Address <br />Address <br />Do�� n � 9 / � .T � <br />State License umber <br />Proposed Use of Buflding <br />� <br />C�ty <br />SUte/ZIp <br />State/Zip <br />/� o, ` � <br />..7 0 � <br />Contred Prfce of Work <br />Contact Pereon (Plan Roview) <br />Description of Work to Be Done: u%LiI k � ��/ [D �� Q r /�iJ �fu�� <br />0 <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 3705 <br />I hereby certi/y U�at 1 have read and examined thls appllc <br />correct. All provls(ons o(/aws and ordlnances goveming <br />whefher spec(fied herein or not. The granting of a permd <br />vio/ateorcanr,elthe provlsionso(anyotherstateorlor.ai <br />perlormance of construction. Thaf 1 am authorized by the <br />work lor whlch appli�tlon is made and I comply with the <br />296.200 WAC. / 1 _ <br />and <br />2 <br />to <br />/� <br />FEE <br />and � I � � <br />to � • <br />he <br />and <br />