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May 13 07 12:49p <br />i' <br />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 />PROJECT ADDRESS <br />APPLICATIONS ARE ACCEPTED FROM E AM TO 4 PM <br />A1all Address <br />P.1 <br />y2� <br />s o <br />City $ate.'LP Phone <br />Tenant Mall Address City Sale/ap yZi Phone <br />"pw(.1 1 r,tf 34yi fir L /� 9'i2r/ Zs <br />Electrical Contractor WI Address <br />Zp"N411Y2- ('0 <br />State License Number <br />$ ICn <br />Proposed Use of Building — / '— <br />Description of Work to Be Done: <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 />/ hereby certify that I have reed end examined this <br />correct. All prOvlslons of laws and ordinances gov <br />whether specified hereln or not. Tha granting of s <br />violate or cancel the pmvlslons of any other state c <br />performance of construction. That I am authorized <br />work for which application Is made end I comply wl <br />296.200 WAC. <br />SV/ <br />City SaafZlp Phone <br />Contract Price of Work <br />Contact Person (Plan Review) <br />7' <br />FEE �^ <br />and E(i"lUf7-G�l, <br />to <br />and <br />