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� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES c /r ,r,p <br />3200 CEDAR STREET, EVERETf, WA 98201 I`%� `1 '" I <br />425257-8810 - FAX 425-257-8857 - vwvw.evereriwa.org C pS D�..p -rj y <br />APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM <br />J�',70 Gtlesr lt.f.+N-.�va Vitw t7Ri�/6 <br />PROJECT ADDRESS <br />,B�« N�,� <br />��� <br />J/' iLl��.vE U/EW �R�✓E EVE/f� %y <br />Mail Address Ciy <br />�8�0/ (Y�S) �ss - 9 z 9 <br />S�ale2ip Phone <br />PGF_ •PRo/ucaioN �oufno,.r �'�.ci,v�ee+..� �%�D /•tllSf {Nw�twa i/it..+ ,t�ai.� Et�cwTl GV14 iS.?O/ <br />Tenant Mail Address Cih/ Stale2ip /,yC S� .157- y Dhc S <br />l <br />/�iVIJ LicNri�rc„ <br />Electrical Contrador <br />/�i11(,�JL I S L i S 7' J!2 <br />State License Number <br />fn «.�-� <br />Mail Adtlress <br />DFF/c.� /{LIAyu�F�a�t�.c.^ti <br />Proposed U of Buiiding <br />City <br />� <br />980/ J <br />Phone <br />�GY3-LLG 4 <br />� /!e, v3z.00 <br />Contract Price of Work <br />�TE�E CocEs....4+� <br />Contad Person (Plan Review) <br />Description of Woric to Be Done: f,UF K � y �FH c i,e ,w y�/G�4T/nK. UPG �� d E /f�c..�o <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />I nere6� certi(y that 1 have read <br />corre::f. All provisiais ollaws a <br />whether speafied herein or nof <br />vio�ate a' cancel the prowsions <br />peAarnance oI caisirucfion. T <br />wak (or wbich applicahon is mt <br />296.200 WAC. , <br />- " _.-- -` --- <br />? <br />/ <br />fhis application and know fhe <br />aovemma fh�s tvoe o( wak w� <br />e lo be frue and <br />canplefed <br />ve authonty fo <br />fion a fhe <br />to peAorm fhe <br />18.27 RCW and <br />3 Z on 9 <br />FEE <br />� � <br />� <br />