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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVcRETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />�7'� 9' `I ST S-P GL�a�T/ <br />PROJECT ADDRESS <br />TP n, - Q— �,� , hiP� l Z 5-923 �� <br />Owner Mall Addresa Ciry State2lp Phone <br />SA/YiP <br />Tenant Mail Addresa Clty SlatelLp Phone <br />Eleclrical <br />Mail Addresa <br />���y c? s 20 I/ NF <br />State License Number <br />Proposed Use of Building <br />Clty <br />StateZp <br />�l/� � � <br />ConUacl Pdce of Work <br />Contact Peraon (Plen Review) <br />Phone <br />Descrlpllon of Work to 9e Done: _� f', P4�C � /Z.S � �i4//r'L Q��� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN R,4CEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J10S <br />I hereby certily that I heve read and examined this <br />correct All prowsrons ol laws end ordinances gov <br />whether specified herein or not The grenGng ol a <br />violate or cancel the provlsions ol any other state � <br />peAormaace o/ construction. Thaf I am euthonzea <br />work /or whicb appbcation is made and I comply w� <br />296.200 WAC. <br />�, <br />� <br />and know the <br />vPe ol work w <br />not presume <br />s to 6e frue and <br />completed <br />�e eufhonty ta <br />lion or fhe <br />o peAorm the <br />8.27 RC W and <br />E oy�l• c�qp <br />FEE <br />L <br />