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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 />AP;�LICA1 iJNS ARE ACCEPTED FROM 8 AM TO 4 PM ��1''y yi2 <br />�,-,.E,q-ra3 <br />� � � � c� , M .�,�� 1� �� � � <br />PROJECTADDRESS <br />w , ,,,,, ., �w 1,e8 <br />� r��,� ��s�.- � � �� 3�-� ��UF�% 9��3 �6.3��. <br />Owner <br />Tenant <br />, � �(u�,c <br />tiJ�-�. [wdT <br />Electrical Contractor <br />Mail Address <br />Maii Address <br />y� � <br />Mail Address <br />-J-N�f��NqJD�f' <br />State License Number <br />r��- <br />Proposed Use of Building <br />City <br />City <br />�B �M 3 1 � `'( <br />���Y <br />Square Footage (If residential new construction, remodel or addition) <br />Description of Work to Be Done: <br />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 CO�E IS 3105 <br />I hereby certify �hat 1 have reed <br />correct. All provisions o//aws � <br />whetherspeci�ed herein ornot. <br />violafeorcancelthe provi'sic�s <br />peAormance olcons(ruction. T <br />work for which applicafion is ms <br />296.200 WAC. _. <br />Ihis applicafion and <br />Slate2ip <br />StalelZip <br />State2lp <br />Phona <br />Phone <br />Z( yis •y�8�i <br />Phone <br />yG l� ' • cl..-7- <br />�F_� <br />Contract Price af Work <br />Contact Person (Plan Review) <br />v� �� SfY. � <br />FEE <br />9 to be true and � l�� � 2 <br />comp/ered ' Z,� <br />re authonty to <br />tion or fhe <br />o perlorm fhe <br />8.27 RCW and <br />9�� y�/ Z-- <br />