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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET. EVERETT, WA 9F201 <br /> 425.257-8810 - FAX 425.257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> zolo <br /> PROJECT ADDRESS <br /> �eesC C7 r3�`t 2010 Lao srf� ,G✓e/-ee W4 ?,'2o3 LjZS-1yl-90 <br /> Owner Mad Address City StataQip Phone <br /> Tenant Med Address Coy Stale,Z,p Phone <br /> Electrical Contractor Mad Address CM stata2,p Phone <br /> FxcEPE'�9G S�2y <br /> :.tate Lrce9qnse Numbn <br /> Number Contract Pca of Work <br /> �e}r d,6JI AJ <br /> Proposed Use of Bwldinct 1I^ Contact Person (Plan Review) <br /> t,(�irr. 4 OTt5'�'! cr..�/�rS1�Qr� 6`t5� rte•�� <br /> J . r <br /> Description of Work to Be Done. <br /> NOTE WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE <br /> CITY Or EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I hereby certify that 1 have read and examined this application and know the same to be true and <br /> nnrrncl AX pmvrsmn<nl lawc anrt nrdmances gnvemmg Ihq type p1 wrrrk wdl ha compleMd <br /> whether specified hereon or not The sntmg 6f@ permit does notprosoma to give euthonfy to <br /> violate or cancel the provisions of an) her state or local low reguretrng consfNdton or the <br /> perform ice o/aonsfNcfro laf I en,authorized by floe owner of this property to perforin the <br /> wogggrk r och epphceh os ode end r campy xMh Me Sfete Contractors Low 18 t 7 RC W and <br /> � Sgnature D.N <br />