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f <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 evereltwe org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />Rao R-Do ST sW, PwIlAm5 L. <br />PROJECT ADDRIESS <br />iWAck OVW K5 gyp !%JIA Ate, SJI <br />Owner Mall Address <br />City Slate/Zip Phone <br />SO" "li VPMivk, a;X) W-k WS&PPAda C Wtfjµ W* 492,0'3 yob zz3 �16do <br />Tenant Mall Address City Stale/Zip Phone <br />Contractor Mail Address City <br />wWsH IA1 �CML3 <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done: <br />UN t I?t" I SC! I '9W01 oy <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />1 hereby certify that I have read and examined this application and <br />coned. All provisions of laws and ordinances governing this type <br />whether specified Irerein or not. The granting of a permit does not <br />violate or cancel the provisions of any other state or local law regu <br />work or whiich a liication is made end 1 com�T e i by the owner o <br />296 200 WAC. PP Pb with the State Coi <br />E <br />StatelZip Phone <br />* Ilb53-0 <br />Contract Price of Work <br />Shah nor woo m h . <br />Contact Person (Plan Review) <br />to be true and <br />FEE j <br />