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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CED�R STkEET, EV�RETT, WA 98201 <br />425-257-8810 - FAX 425-257-8R57 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� �.� �-� � �� ��� � �� '� . <br />PROJECT ADDRESS <br />��� <br />Owner <br />Tenanl <br />Mail Address <br />Mail �ddress <br />City <br />Cily <br />Stale/Zip <br />Stale/Zip <br />q_1�06 <br />C-�o 6o�i � <br />Phone <br />Phone <br />�A).�J�� 1—�J.�U� �— ��o' � V�t ( � �v �/ i . � �� /�i .�'1✓�` �..i � `/ /��i�% (�-�-� <br />EleClriCal ContraClor Mail Address City S;ale2ip Phone <br />y� ,-- z; r Y> a-a� <br />( .ti).� � \� � � _ � ,, z i o ,� ��>� � � <br />Stalo License Number Contract Pnce of Work <br />� �,.� <br />_� 1 <br />d Use of �uilding <br />Contact Person (Plan Review) <br />t i <br />Description o( Work lo �e Dono: _ _ � � \ � L 1� � 1 ��1....� . %� V� � i�\ � � %� �--� � � �li � z <br />NOT[: 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 hcreby certily fh�t I have rend <br />correcL All provi;ions olla�rs a <br />�rhefher specified herein or'no(. <br />violafe or cc�ncel the �rovisions <br />perlonnanceolwnstructron. Ti <br />work lor which application is ms <br />29G.200 WqC. . <br />this application and know fhe <br />vovemmg fhis fVpe o/ �rork w <br />s (o be We and <br />completed <br />re authonty fo <br />tion or fhe <br />o peAorm the <br />8.27 RC W and <br />FEE <br />f= (,l� (, `1 _ (. ��� <br />