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ELECTRICAL PERMI�' APPLICATIaN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STP,EET. EV�REl7, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — wvnv.everettwa.org <br />APPLICATIONS P.RE ACCEPTED FROM 8 AM TO 4 PM <br />i71c� V��<-!����n ��:��: <br />PROJECT ADDRFSS <br />�_ y- o� <br />Co ��g °�6 <br />C.�C� ?qf- ti ��C <br />���7AU12 lnl✓�srn�ri,�r� I'�'t��x 119- l,J�ou�n�d�cic �JN `it�i� 4�s�•��� ��l-�� <br />Ow.nef A1ail Address Cily Slate2iD Phcoc <br />�q cAN'r <br />Ienant ' A1allAddress <br />�o�,�N�R � <br />Elec�ricai Contractor Mail Address <br />Slale License Number <br />( ��?J�il1'1 I-l�t1S�- � <br />Propo ed Use ot Buildin� . <br />City <br />qly <br />Sla�e'Zip <br />Slatc.2ip <br />Contrac� Price of Wor'r. <br />Conlacl Person (Plan Review) <br />Descriplion ol Work to 6e Done: U PDiTE ��i�L �/� �j-�i�/��1L'.� '��PLi�-C//U(,_ _ <br />r�lE c e�� �n�� i 9Sb �s E��r PP�� � <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 />1 hereby certily fhaf I Fave reaA and examined fhis applicafion and knc�r fhu sarne ro Go true and <br />cun�ect. AI! provisions of laws enA ordinances goreming fhis f}pe ol �rodc iviil be cornplefed <br />o�hether spec�lied Demin or noL The granling o/ a pernut do�s no( presurne to gice aufhonty to <br />��iolate orcancel tho rovisions olany ofher sfafe or locallaw rogulntinc� construcfion or the <br />9o�k lor wlil ch a��li �afienis nTede aaa�l coiri�ly ��th (h'e S(ate Con6act�ors La�v 1A.2! RC1W enA <br />296.200 W�1 C. <br />� <br />Phonp <br />Phone <br />r-EE 1 <br />i <br />-- � <br />/� i� ����i� <br />; �� - <br />� <br />