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ELECTRICaL PERMIT APP�.ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />, <br />32U0 CEDAR STREET, EVERETT, V�A 98201 d� <br />425-257-8810 - FAX 425-257-8851- www.everettwa.org � _/ �- <br />APPLICATIONS RP.E ACCEPTED FROM 8 AM TO 4 PM L-���� �✓��a <br />, - � <br />1� )- �� i.�. �� �' ��� �� J��, ����- i I �:i r�1 � i L � <br />PROJECT ADDRESS l� 7, j�� S ��!�3 <br />p1 q � q ^ � , l � - �1 <br />� <br />�1 _N� /'1i�1)i�1iA ��IGii���'l�'���1 f'���-l{oii-i�'V�'� ��c11 %' V�'IZ-•=i I i.�` Y-�1 ��'��.o � <br />Ovmer Mail Address Cily StatelZip Phone <br />Tenant <br />Electrical Contraclor <br />State License Number <br />Proposed Use af Building <br />Mall Address <br />Mail Address <br />A , <br />� l�!E Ai. �i r.�y.(�.�'�;"1 <br />Descriplion o� JVork lo De Dona �1� 1 r, u- <br />� <br />City <br />Stale/Zip <br />Phone <br />City Stale/Zip Phone <br />� � � �z; -- �,�v <br />Contracl Price o( Work <br />Contar( person (Plan Revizvr) <br />_ _', — <br />_:-1 >.� (. i . '_. i . i <_�_tJ._J_/�.�__ i'��. i .' , .��. 1 �«; � � X 1-) r� �' � , Y ;=� ;�5� <br />_ --r �t <br />NOl'E: 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 certi(y fhat 1 have read and exarnined this applicatior <br />conecL All piovisions olla�vs and ordinances govemmg this <br />�rhether specfied he�ein or nol. The nrantin� of a permd doe <br />violale or cancel the provisions o(an}� other s!ate orlocal law <br />peAormance e/consfruction. That 1 am aufhoiized b}� fhe o�v� <br />�vork Ior �v'iich appljcafion is made and I cornpl}� with the Staf <br />296.2U0 bV�C, r <br />and know the sarne to <br />ype o/ work will be con <br />not presume to give a <br />a and <br />y fo <br />the <br />�and <br />FEE <br />����v�-o7y <br />