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.���.2,. zco9 i2:5oFM <br />Ne.li42 P. 2 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9II201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�� 54� �'^ ,S% �l✓ Ea r �i g8�1D3 <br />PROJECTADDRESS <br />Ov✓ner <br />Mai; Address <br />)Gcl <br />City <br />��� 3_ <br />�oSo�� <br />State2ip Pnbne <br />Tenan( MaiiAddress City Slaletip Phone <br />%�S i"{ea'�'in�( Cq¢Ic"q <br />� �r�t�« Z�c_ �GC-79`{' <br />�SQD E Ma �� s f- ix�� �o wA 48�.7.t �30� <br />EledfiG2lCon�ra�tOr MailAddress City Slale/Zip PtipnC <br />G S�NT�SN 930RK <br />State License Number <br />S-n�,�c �a �� Qer�a��,��c <br />Propo ed Use af uilding '-'� <br />f'�scription of Work to De Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CI"fY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />�'3R�. �I <br />Contract Price of Wotk <br />ContaN P�rson (Plan Review) <br />1 hereby certiry that l have read and examined this application and know fhe same ro be tnie and <br />correct. A/l provisions ollaws and ordinances povenung this type o! woik will be completed <br />whethe� specifiod herein or nof. The yr�nting o1 a permit does notp rssume ro give authoqty to <br />vidate or cancel the v�visio�s of any othe� state or Ixsl law regulatingpconsfruction or fhe <br />��(or vhich appl'cation i n a'de and�l con plye��h th2 SfatB COr)trdC(orsPLaw 18.27 RCW and <br />296.200 WAC. <br />5P�'c�-S� (Sroc�,..an <br />��s-�71- a3 �S <br />C� �`GGc � <br />FEE <br />� 94/- 9� <br />