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ELECTRICA� 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 />/yo/ R�� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />APPLICATIONS ARE ACCEPTED FROM 8 4M TO 4 PM <br />Mail Addmss <br />Mail Address <br />�J�+ -�'1�Z c' % <br />� �/,� � �/e �� ( ( <br />City <br />City <br />State2ip <br />State/Zfp <br />yga� l <br />A �rs- �ry y <br />Phone � <br />Phono <br />� <br />C��,� N � <br />Eleclrical Conlractor Mail Address Ciry Slale/Zip Phone <br />State License Number <br />Proposed Use of Buildin� <br />Descriplion of Work lo Da Dono: <br />AS <br />�. �-��l�s �` <br />bc r �t15� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CADL[. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily fhaf 1 hnve read and examined fhis applica. �n and <br />correcf. All provisions �(la�vs and ordinonces c�oveming ffns lype <br />whether spealied herr n or not The gr.�ntin� o/ a penmt does nof <br />violafe or cancel fhe provisions oI an}� other sl��fe or local l��v regu <br />perlomiance o/construction. That 1 am �uthorized b}� fhe o�vnor o <br />���.k ��r �vhich anolicaticn is rnado and 1 comply �vilh fhe Stafe Co� <br />Contracl Price of Wark <br />Contact Person (Plan Review) <br />C.�GY.zG.. Gti,�Q� £ BA-D <br />G�Nr/zG ,o� . <br />Q fo be fruo and <br />complafed <br />ve airthority to <br />tion or th� <br />'o pe�fomi fhe <br />'8.27 RCW and <br />p - � / �' G���� <br />FEE <br />�i1Ob ')�.7 <br />