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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES y_ 17•-O7 <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425.257-8857 — www.everattwa.org of 0 0/ 00% — 0�% <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��� R rd �L S� <br />P OJECTADDRESS <br />Owner M Il Address — <br />city <br />Statwzlp <br />None <br />l anent --- Mail Addreee <br />Clly <br />stete21p <br />rhona <br />1 �. _ 55 - I�f <br />fClectn <br />Nc�i <br />t�aRa G�r7IP t �,�a Q u>j <br />Los <br />_l3GL� <br />Contractor Addrom <br />CM <br />Sliftelztp <br />ialai&Zq s�j cy? <br />y,-7X- CO <br />Slnte License Number <br />Corlract Prloe of Work <br />-- <br />Propose 1 BuH Iny <br />Contact Person (Plan Review) <br />1ja SQ r, <br />A <br />(l/G SGN��� <br />Deedriplion of Wo k to Do Done, <br />- <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 15 3106 <br />I hmobY eeAi%that I have read earl oxnmirad this application and know the some to be true and <br />rhrroc .. All pvralona of laws and ordinenres governing this type of work will he aomplelad <br />whether spercdMd herein ornnfthe pranbr�9 of a peemd does not maume to give eufInAy to <br />violate or can <br />0pi the rovisbns of any ofhar state or locsl law re/yuiabng consfrudlon or ins <br />work hu w Bich application <br />is made andd I comp y wrfhytho State GontmlcalPr%a w B 2 RCW and <br />Ilf^1 )IH.L3313 DKINIA Tvd ZF:9I 600:/9ti60 <br />