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ELECTRICAL PERMIT APPLICATIQN <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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />`�.5 gP�+r�. r'�v� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Electrical Conlractor <br />�1 /��yi����- <br />Stale Lfcense Number <br />Mail Address <br />Mail Address <br />Mall Address <br />Sjl�}'rl(.,6 �N�1L`{ Q.�SfpElJ�t <br />Proposed Uso of Building <br />City <br />Ciry <br />7\I'i L�In <br />Ciry <br />5 --i �-ii <br />�/I 0 S -ob �-- <br />� 871�3 <br />State/Zip � Phona <br />425-��3 -.o�o <br />State2ip <br />State/Zip <br />� �� <br />Contract Price of Work <br />Conlact Person (Plan Review) <br />Phone <br />742' <br />Phone <br />Description of Wcrk lo Be Done: ^[FiY`1��"i bG.'CCt�'.''i`� 11 1�1�� (`Jlti'�'SlOE �'�"; QAFi � <br />NOTE: WIRING IN NON-DW�LLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby ceAify thaf 1 have reod and examined this <br />correcL All provisions ollaws and ordinances gov <br />whether specified herein or noL The granting of e <br />viola(eorcancelthe Provlsionso/anyotlterstate< <br />pedortnance o/ conslruction. That 1 em authonzed <br />work lor whrch appl�fionjs mado and 1 comply w� <br />296.200 WAC. / ' <br />know <br />ol woi <br />FEE <br />e to 6e We and C'i� � U✓' �,� <br />complofed <br />✓e authonty to <br />Gon or fhe <br />