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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 -az -I� <br />425-257-8810 - FAX 425-257-8857 -www.everettwa.org ZDg-10e <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />n9 7 3 '3,-J <br />PROJECT ADDRESS <br />cr 5627 33d <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail A7dd <br />res <br />�s / City State/Zip Phone <br />1 eV fie/if/t'elGe'NS�n ST �cQ7 t l' 1�tfll % % _5 773-0J <br />Electrical Contractor Mail Address City StalelZip Phone <br />r[; <br />State License Number Contract Price of Work <br />r"y 67 <br />Proposed Use of Building Contact Person (Plan Review) <br />i V�IC) <br />Square Footage (If residential new construction, remodel oraddition) <br />Description of Work to Be Done: pCp'OCcGi1.�- rho 0 1n4 �%� filC / <br />r I <br />NOTE: 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 hereby certify that 1 have read and examined this application and <br />correct All provisions of laws and ordinances governing this type <br />whetherspecirred herein or not. The granting of permit does not <br />violate or cancel the provisions of any other state or local law regu, <br />performance of construction. That i am authorized by the owner of <br />work for which application is made and/ comply with Me State Car <br />296.200 WAC. <br />s to be true and <br />completed <br />(e authority to <br />!ion or the <br />o perform the <br />R 97 RCW and <br />FEE <br />�0� <br />ail <br />3� ! <br />