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q 1 <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 S AM TO 4 PM <br />g30 SOT" S'f Swr 5011JIM, A <br />PROJECT ADDRESS <br />00ACA V(v1W1f5 V1D I001 flue s)lic IN) Pxlleuaf nth RNI >Ob-t23-` (SDD <br />Owner Mall Addreas City Statelzip Phone <br />Tenant Mall Address City State/Zip Phone <br />wA NYIDtAn AAUTM, mL OiIti S oiikv, r 9804L Mr $11144 33t;-3tPfr <br />Electrical Contractor Mail Address City Stale/Zip Phone <br />wA,Nh1Al7.8tL6 IIb53,OD <br />State License Number Contract Price of Work <br />ShGllnon W�bA►nan <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: 10CAIE4 I -ry Wf , I P 1I ( I horn/"be, I l y(or beu/ 41•rbbG <br />I kcHPad, I IAN'IW1 .puvul nNn rP- 1 s.prinKl9r Wai rNDtJ SW1 �. <br />ILV4` 3 �lAlu e CJJQ • S�>, la-,.ws• <br />NOTE: WIRING IN NON -DWELLINGS IS REOUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />I hereby certify that 1 have read <br />cormcf. All provisions of laws <br />whether specified heroin or not. <br />violate or cancel the inrovlsions <br />work for wh ch application is. e' <br />296.200 WAC. <br />Slgnitfure <br />to <br />FEE <br />F_u51Z-U3,5' <br />