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i <br /> 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 /> TINA (�JiHAN 98M E 500`04410E M SCbMbAe-61 lit - 19-MN Wo 60b znj <br /> Owner Mall Address City State/Zip Phone <br /> PAUL_ (08 7711t Ac Sw EV6ACr- I NAA . 58103 <br /> Tenant Mall Address City State/ZIP IIon <br /> Electrical Contractor Mail Address City State/Zip Ivu.n^ <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: (UmoVE r'UL,44TS AAO i.s126 . JN6i71LL- JZth1/MAtS M' Aeyy__ <br /> wipe ENC . <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 I <br /> I hemby codify Ihaf 1 havo read and exemhtod this eppllcoflmr and know the some to be fnro and `� Od 1 - 00 <br /> correct. All provlslorra o/lews end ordinances govaming this type of work will be completed <br /> whether speel6ed hereto or not. The granting of a permd does not pIme <br /> to plus authority to <br /> violate or cancel the provisions of any other atato or locaif <br /> law regu/econsfrudioil or the <br /> wo�rloc o awhkh a�llcnflW n made and la on�iZ m(hyflilo SYe et Conm awyl8 2 RCW and <br /> 296.200 WAC. pp p y <br /> a,V • 10 <br /> IOnalure Date <br />