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ELECTRICAL PERMIT APpLICATION <br />CITY OF EVERETT PERMIT SERVICES <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 <br />����� � �.��( ��(% Il� � �'%�FiT i�/H `l �r�'� <br />PROJECT ADDRESS <br />J���KI � 6�c� ��K�, <br />Owner <br />Tenant <br />��—�� <br />Electrical Conlrec�or <br />E��;. � <br />Slate License Number <br />�';L5 rG �_�✓cc <br />Praposed Use of Building <br />`l9� �i � � "� �-��f �, <br />Mall Address <br />Mail Address <br />'ll� i'>���I,-vcl✓,�� <br />Mail Address <br />Clry <br />Cily <br />City <br />/l=a-io <br />C/Oi/-- oa5 <br />✓�I 9�1�3 �7� � �'� ; <br />Slate/Zip Phone <br />State/Zip <br />l <br />State2ip <br />� l: �'��.G� <br />Conlract Price of Work <br />Phone <br />�� �c� es,�-3��j <br />Phone � <br />Contact Person (Pian Review) <br />DescriplionofWorklo6eDono: �fJ'���— �l�'�I���✓L' �� ��EH% f�r,a4'i %�;�^I � �f'f� ��t�tv��� _ <br />n <br />�N��� h'I✓i- � l - 5�� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SAL@S TAX CODE IS 3105 <br />1 hereby certify tfiat 1 have read <br />correct. All provisions o(laws a <br />ivhe(her specd�ed herein or not. <br />vio/afe or cancel the proiisions <br />per(ormance o(construcfian. L <br />�vork lor which application is m� <br />296.2Q i WAC/ <br />� � <br />l�, <br />1`-; ��/Uti'� <br />nined fhis applic�tion and know fhe <br />uices goveming this type al work w� <br />nting o/ a pernut does nof presume <br />her state orlocal /a�v regulafing con <br />�ufhorzed by fhe owner o( this prop <br />comply wifh fhe Sfate Contracfors ( <br />�� <br />310 be frue and <br />completed <br />�e authority fo <br />tion or the <br />o peAorm Ihe <br />8.27 RCW and <br />FEE <br />/�// — �� ) <br />