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/(� <br />ELECTRICAL PERMlT �PPLICATION <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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />' j/�C/ V S, ���U� <br />PROJECT ADDRESS <br />� i�1 C�D �S <br />o„���� <br />Tenanl <br />�'_l-�,�� <br />Elecfrical Conlraclor <br />._—, <br />/� i� L , <br />i,iaii Addross Cdy <br />Mail Addres� Clty <br />Mail Address <br />7�, <br />i <br />� �' � <br />���; �- . �--Tv� � K <br />Slato Licensc IJumbcr <br />� � s . �,�lr�.�l <br />Proposed Usc o( Buildin� <br />(� �3 -/o <br />�iooy�oSO <br />Slale/Zip <br />Slalc/Zip <br />� �• �. iv c�. <br />Phone <br />Phonc <br />Cily Slalc/Zip Phonu <br />t�C <br />$ GD� <br />Can acl Price of Work <br />Contact Person (Plan Review) <br />Oescriptian o( Work lo De Done: � UOO / /�/ �" �t/ `{�(1 y/� ��' �, <br />_ 7 <br />NOT[: WIRING IN NC1N-DW[LLINGS IS REQUIRED TO <br />[3E IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SAL[S TAX CODE IS 3105 <br />1 hereb}� cerfi/�� fhat 1 ha��e mad <br />couect /111 provisions o/la�rs a <br />i, hethcr epecJied herein or not. <br />rinl.9'C 01 C8liCel fi7e DIOGiSinnS <br />is made <br />�� <br />fhis applicntiun and hrwtv fho <br />govemm� fhis t}�pc of �tiro�k �v <br />�� a perrnd does nc( presume <br />3fe orfocallan- regulafinc� cat <br />ized hy wo oivncr ol this prop <br />I}� �+�ifh the S(afe Contrnctors l <br />l�-.� 5 <br />ie to be true and <br />� completeJ <br />'ve au(hoiity (o <br />'�IOfI 01 I�iC <br />i0 pBf%/f71 i��C <br />18.27 RCIY and <br />.��%i0 <br />f-EE <br />E►004 - pqv <br />. <br />