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ELECTRICAL PERMIT APPLICATION <br />C17Y OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — wvnv.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�ya6 Gv - m,uk���fo r3Lv� - <br />PROJECT ADDRESS <br />%� -�'�O <br />G��i a--o67 <br />,�N ��N��r �y,?6 w- �� �y� t�.rD � .��� � r.�- �g �s N � <br />Owner Mail Addmss Cily State/Zip Phone <br />�/� <br />Tenant � Mail Address Cily Slate/Zip Phono <br />Fr�7�C��tEcne�G /Y�6c��s� � �v�r; �6s-� ��.3 <br />F l,�y 9 g2a/ <br />Eleclrical ConUaclor Mail Address City Slate/Zip Phone <br />FlkST�L- 97/,eC <br />Stale License Number <br />Sf� <br />Proposed Use o( Buildinc� <br />�� � CE�S%'� <br />Conlracl Price of Work <br />�o��i�uS <br />Conlact Person (Plan Review) <br />Doscriplion of Work lo Dc Donc: �� i�/iN� �� ���T `S/ `S� ��2— <br />(�,Gu�b�.nO,u/�lr''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 CODE IS 3105 <br />I f�ereby ceriily fhaf 1 have read <br />correct. All provisions olla�vs a <br />whe(her specified hertin or nof. <br />vio.'a(e or cancel fho provisions <br />pe,torrnanceo(construcfion. Ti <br />u�erk for which application is ma <br />296.ZOOWAC,�> . <br />Il�is <br />comply <br />and know the <br />vPo o( work �s <br />e to be Vuo and <br />comple(ed <br />✓e authonty to <br />tion or fhe <br />o pedonn Ihe <br />8.27 RCW and <br />FEE <br />