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i <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-�57-8810 - FAX 425-257-8857 — www.everettwa.org <br />1> I 3 s�-�.' <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />M� 5�5� s <br />Electrical Conlractor <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� � �� <br />l 3 l_' jo ��'Si 5r ��e <br />Mail Address City <br />MallAddress � ���„q.City <br />k� �� <br />,�,,�� n���r� �%Y � � <br />M L S ��;s �3 , i � P3 <br />Slats License Number <br />Proposed Use of Building <br />Mail Address <br />Descriplion af Work lo Bo Done: �li� ✓� � �� <br />NOTE: WIRING IN NON-DWELLIIJGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />C�TY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerfify ihaf 1 have read and examined this applic, <br />correcL AI! provislons o/ laws and ordinances goveming <br />whothor cnncdiad hP.rf?Ll Of tlOi. T/iB dl'd/lilflO 0j 8 PBm)li <br />Cily <br />and know the <br />vne ol work w <br />� <br />�n. <br />Phone <br />State2 Phone <br />��3J 37� -7�i 6 <br />,✓A �i:?� �z <br />State/Zip <br />Phone <br />CoNract�e o 1Work <br />,���c �y��� 33a �i�d�� <br />Conlact Person (Plan Review) <br />�C <br />s to be true and <br />completed <br />ve aufhonty fo <br />tion or fhe <br />'o peAorm the <br />'8.27 RCW and <br />FEE <br />��li�i--� � 1�� � <br />