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� <br />ELECTRlCAL PERMIT APPLICATIO�V <br />CITY OF EVERETT PERMIT �ERVICES <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 - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />2��2 cS�+aIM;'� /�{ve <br />PROJECT ADDRESS <br />�j/e/e��/- Q4r� 1��G <br />owner <br />Tenant <br />Eleclrical Contractor <br />State License Number <br />Froposed Use ot Building <br />SvIY1Mi �' /oi �> <br />gv2 ,1�,�`%,71�,✓ <br />Mail Address <br />Mail Address <br />Mail Address <br />Cily <br />Cily <br />Clty <br />w� P�.i o3 yu.1.r7. �,f Yr <br />SWte21p Phone <br />SWte/Zip <br />Slate2ip <br />�j� ��al7L <br />Contract Price o( Work <br />Conlact Person (Plan Review) <br />Phone <br />Phone <br />DescriptionofWorktoBeDone: ICGo%[e�u�� d!' ,Tii�.���� Crn��+�Lr 4e� �jt� �J< <br />4� n'/ D/�� I�Cer <br />NOTE: WIRING IN NON-DWELLINGS IS RE�]UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLL. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily that I have read and examined fhis application and know the sama fo be l�ue and <br />correct. All provisions ol laws and ordinances goveming this type ol work will be completed <br />whether speci�ed herein or not. Tlie granfing of a permit does not resume fo give authority to <br />violate or cancel the provisions ol any other sfate or local law reguPtingpconstruction or fhe <br />P o�k /or wh ch appl/ cefion s ade and 1 eomply w tb fhe Sfate Cont actosPLawy 18 27 RCW and <br />296.200 WAC. <br />/oo l-,2 -G ya <br />l� <br />EG 5G7 —! L(`i <br />FEE <br />