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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT. WA 98201 <br />425-257-8810 - FAX 425.257-8857 - www.everettwa.org <br />APPLICAT IONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />LCJ If DZvG- 2 7/-9� 3 <br />�C'� ,tray Call Sd�Cc� �f/'/i1 PI1 �j0 7 Vgi� /ilfi <br />Mal Address City StatelZip Phone <br />O`gnek"Al A zj-� - ZZ 8 h 5't S4J <br />vr c- r-z_A."// „tli a142em- Cyt�)487-L3g5,' <br />TCnanl Mail Address City Stete2ip Phnne <br />,0(j r / V ✓ U <br />rl W Yt P� # 7 �/ 77 c — C ntract Price of Work <br />Slate ense Number <br />tlrif`C_h'ou <br />Proposed use of Building <br />Description of Work to Be Done: u-i ya (f r' <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 />I hereby certify that 1 have read and examined this application and <br />correct. All provisions of laws and ordinances govemrng this type <br />..,hnrher cncrifiwd harem nr nnt. The Orantino Of a Pegif does not <br />is <br />Contact Person (Plan Review) <br />pow the same to be true and <br />work will be completed <br />esume to give authority to <br />ing construction or fire <br />lis property to perform fire <br />actors Law 18.27 RCW and <br />FEE <br />�111v-oqI <br />7 <br />