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ELECTRICAL PERMIT APPLICATION <br />CITY OF Eo R 8 REETPERMTT SERV�ICES � 2_ o, _ os <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org G' p SI Z-d 6 3 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />i I \ )-f I <br />� I � �ij L,� ) . ��l l�-�l l T� C`, .� ��C ' r <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />� <br />� '� /i��l �/ � ���'�' <br />Mail Address <br />� <br />��- <br />Mail Address <br />-G(.�'/CY�� 1.���/'"i3N <br />.to Mail Address <br />���r��r��-��n' <br />Stale License Number <br />� 'Sr `F%// `�i �y / L�'i'� >�-i� i c-'- <br />Proposed Use o( B ilding ' <br />Descriplion of \Nor4�to 8e Done: <br />, 3 < <�1��=�, <br />City <br />City <br />StatelZip <br />State/Zip <br />Phune <br />Phone <br />Cily SlateRip Phone <br />w�- 9�i77<< j�-3., . <br />����/ / / � �1 �'_' W �33 <br />Conlracl Price of Work <br />Contact Person (Plan Review) <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />8E W RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certily fhat I have read and <br />correcL All provisions olla�vs and i <br />�vhefherspecdiedhereinornoL Th� <br />violate orcancel the provisiais o/ai <br />perfermance o/ consfruclio �i. That I <br />work lor which application's�made e <br />29G.200 WAC. / <br />��- <br />� �✓�G�-, <br />this <br />a <br />and Wiow the same fo be true and <br />ype o( �vork u�ill6e comp/eted <br />� nof presume to give authonty to <br />�egulafing consfructian or fhe <br />er of this p�ooerty fo peAorm the <br />� Contractors La�v 1827 RCN� and <br />c— <br />FEE <br />i-� \ ; ��l�l � <br />� /C � �i�� � <br />