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( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES (� -a8�i� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 C��D S—�I 7i <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTf?D FROM 8 AM TO 4 PM <br /> � � ,)L W i?�uP✓E�' �cJe.✓�J 2, <br /> PROJECT ADDRESS <br /> ,/ � ��G J le�a,�.� ,.� I�SZ ,��a';�..�. �.� f✓�,G�-�- ,,��i- 5 U ZOI <br /> Owner Mall Address Cily Stata/Zlp Phone <br /> Tenanl Mail Address City State2ip Phone <br /> N/1 <br /> Eleclrical Conlrador Mail Address Ciy Slale2lp Phone <br /> Stale License Number Contracl Price of Work <br /> Proposed Use af Building Contacl Person (Plan Revfew) <br /> Descriplion of Work to Be Done: Vv '�e— s z � `�° r�+ �/ •'^��^' �""""r <br /> �� �nr� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I here6y certily thaf 1 have read and examined ihis applicafion and know the seme to be tnie and I I� <br /> correct. All provisions of laws and ordinances goveming Ihis type ol work will be completed <br /> whether specified herein or nof. The granfing of a permit does nofp resume to glve aufhority to ( ' <br /> violafe or cancel fhe�rovisions olany ofher sfate or 1�cal law regu/atingpconsfruction or fhe I O J <br /> P o�rl�c lor whlch appl ica�f o�n/s�mahde�and/comply w th fhe 3tate Cor!rhe�cfosPLew 18 27 RCW and J, I <br /> 296.200 WAC. (� <br /> ��� ,1� � - ���' �'-CJ � � <br /> S��� ��r � Date <br />