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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 Z -o6 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org C—p &9Q .0 <br />n]�ira_�it[.l.b1d•3�_C.Z9Aili� •1�:Zi7�'i[:1_1Sit.Z��51 <br />`/L?/ ICucke, Ave.- <br />PROJECT ADDRESS <br />V/40 :/�Cndr1r L/A31 l uc%f Apt iup�� �� 1� ` � 2� <br />Owner Mall Address City State/Zip Phone <br />Tenant Mail Address City State/zip Phone <br />, Nr,d 7_c.r,4vvcr.'4_) 2 i7&/ Sd ' 0, AJ£ Ar Artp/oz, Wa 17Y22-5 2&10-�lc-?Il0 fo <br />Electrical Contractor Mall Address City State/Zip Phone <br />State License Number Contract Price of Work A <br />kr Si Jf''141 0' <br />Proposed Use of Building <br />Contact Person (Plan Review) <br />Description of Work to Be Done: F I r J N W ✓ c a �c 3e wt.ert <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 <br />conihy that I have read <br />cromect. All provisions of laws a <br />whether spewed herein or not. <br />violate or cancel the provisions <br />performance of construction. T <br />work for which application is mi <br />296.200 WAC. <br />this application and know the saute to be tore and <br />governing this type of work will be completed <br />)f a pemut does not presume to give authority to <br />ite or local law regulating construction or the <br />ized by the owner of this property to perform the <br />y with the State Contractors Law 18.27 RCW and <br />iz 6 <br />FEE <br />eouoq-�I <br />