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ELECTRICAL PERMIT APPLICATIOI�i <br />CITY OF EVERETT PERM�T SERVICES <br />3200 CEDAR STREET, �VERETT, WA 98201 / Z-O!-�8 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org � g�2�o0y <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />%�� � i' �L1 � `�' f — <br />PROJECI'ADDRESS <br />OIYfIBf <br />Tenant <br />L1ail Address <br />R1ai� Address <br />City <br />Cily <br />State2ip <br />s�oieiz_�� <br />Phone <br />Phone <br />-�I n� a.�k�i , �.�L �� � X 31���; � UJ� �,��5����� (�II <br />Electrical Conl�actor Afail Address City Slale2ip Phone <br />I I lil->=1,t;1��1 �i'P 1 � <br />State License umbcr <br />�� LU U�Fi L�' _ <br />Proposed Use of Building <br />Descriplion of Work lo �e Done: �� <br />NOTE: WIRING IN NOfJ-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAI'S, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />! he�eby ceRil}� t/iat 1 have read <br />correct All prov�sions olla�vs e <br />whefher specified herein or not. <br />violate or cancel fhe provisions <br />pedormance olcons(rucfion. T <br />work (or which applicafion is nr <br />296200 WAC. <br />/"� � ' <br />) �'I� / �'"'; �/; �='✓ <br />ex<vnined this <br />lamn <br />and I � <br />lan <br />and kno�v fhe <br />ype o! work w <br />� I � , CLY.� . Dc> <br />Contra t Price of Worl <br />� �L ��� <br />Conlact Person (r'lan Revie�v) <br />e fo be true and <br />c��mplefed <br />re aulhurif}� (o <br />fion ortho <br />'o perform fhe <br />8.27 RCl4� and <br />FEE <br />f� (y $ ( ? -0 U'-� <br />