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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 /> PROJECT ADDRESS <br /> leeyt �obs�h 2 / doY'`' I°� S� Ever (�{� 902,)3 4e4--26s-129 <br /> Owner Mall Address city Statemp Phone <br /> 41e0 6ar" PI SC Ever" IV 9e?.)3 4zs-w.s -lzo4 <br /> Tenant Mail Address city State/Zip Phone <br /> Otiner <br /> Electrical Contractor Mall Address city Stale/Zip Phone <br /> 414 P/A <br /> Slate License Number Contract Price of Work <br /> N/,4 <br /> Proposed Use of Building / // Contact Person (Plan Review) <br /> Description of Work to Be Done: C/e(_4 1 C( Ll 0-1 rkd2$ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify that I have read and examined this application end know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting ate perm I does not presume to give authority to <br /> violate or cancol the pprovislons of any other state or local law regulating construction or the <br /> worrkp or which application <br /> ppllicatioiiIs Thai <br /> and I comply with tthe State Confrhal cforsspLaw 18.perform <br /> 7 RCWland <br /> 298.200 WAC. pp comply <br /> 3 <br /> nalure Dale <br /> LP <br /> yr <br />