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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERE7T PERMIT SERVICES 6-�S- �� <br />3200CEDARSTREFT,EVERETT,WA98201 ��(O(�—Oq� <br />425-25T-8810 - FAX 42:`•-�57-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�`�,3�„� ►�ou�r�►.►_ �S'u�T►= ►oo� <br />PROJECT ADDRESS <br />S� �01� �,��ax yzs z3l-8oH0 <br />p�ef Mail Address ' Ciry State/Zip Phone <br />Tenant <br />Mail Address <br />� 7r- c��i <br />i� <br />oiry <br />StaleZp <br />Phone <br />M�viNi Y r- �r=�� a�� Co �r�c, <br />Eleclrical Conlractor� Mall Address Ciry State2ip Phone <br />M�v��Ec o0 3 NS <br />State License Number <br />t9 F r-c U= S�A-c.� <br />Proposed �:se of du�lding <br />p�yo� o0 <br />Contract Price of Work <br />Contact Person (Plan Review) <br />DescdpticnofWork!aBeDone: f�p» �-f(�/�-1 ItJ�,4� 9iEC�'PJ�AC(.L 1�RA1•1�,�-r <br />crRc.�e�i-� �-a� �v�r,� oFacL sP�cr- ����1�i1a(o B l�_ <br />, <br />0 TH r Rs � - <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR r,C CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have read and exemined thls <br />correct. All provlsions of laws and ordinances gov <br />whether specified he2in or not. The granf7ng of a <br />violate or cancel the Provisions of any other state i <br />perlormance o/ conslnicfion. That I am authorizec <br />work Ior which application !s made and I comply w <br />296.200 WAC. <br />know the <br />of wo�lc w <br />FEE <br />3 to be true and <br />c►�vc�-� ll <br />completed <br />ie authority to <br />t7on or the <br />o pertorm the <br />8.27 RCW and <br />