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ELECTRICAL PERMIT A�PLICATiON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everetiwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />i C'o �� G't�nG--�. E� {� r_2,-7�1'� <br />PROJECT ADDRESS <br />Owner <br />Tenanl <br />Mail Addross <br />A1ail Address <br />City <br />City <br />Slale/Zip <br />State/Zlp <br />� J�I �l � <br />CI(o��a <br />z.1'� <br />Phone <br />,�:�P-t-Sfl c.�jI3C-7-c,G z-�,i° f�'(q !S�'��fc. -�icv s?-�l-�u,<%c%A e�3/. r?3Z9z �jz.�Zla�7��� <br />Electrical ConUaclor Mail Address City Slate/Zip Phone <br />. r�(;fz�xc� sR7o.� — <br />State License Number <br />o��_r� � <br />Proposed Use of Buildfng <br />�/ ( S�� . 4`0 <br />Conlract Price of Work <br />�-� - tn,-�:�CSI� <br />Contact Person (Plan Review) <br />Descriplior. of Work to Be Done: !i- -�'�T��L� T��� O�� �OSC-� '`t'- ��� <br />C'_..'frSLZ•C '(�r 'T �_��r � f `P�.�-5 C �- � � <br />���� O.f- ' L�- <br />� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUiRED TO <br />BE IN RACEVJAYS, MC OR AC CABLE. <br />ClTY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby certi(y that 1 f:ave read <br />correcL All provlsions of laws a <br />whether specifled herein or not. <br />v(ola(e orcancel the provisions <br />performanreo/cons(ruction. T� <br />work for wliiah application is ms <br />296.200 WAC. <br />lhis applicafioq and <br />Z a - <br />FEE <br />e fo 6e truo and � I UCf —� 2� <br />complefed <br />�e aufhonty fo <br />(ion or the <br />o perromi the <br />8.27 RC W and <br />