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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />32�10 CEDAR STREET, EVERETI', WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />8��o c.�c-,2cR�.�w�-4� <br />PROJECT ADDRESS <br />Owner <br />Mail Address <br />City <br />State2ip <br />Phone <br />oPsto� e��. 8�� c-c�c�- �� �A4� C-uc-2�' [.J� �'g�r �f��v`�g- <br />Tenam MailAddress Ciry Stater � anone <br />NPR1a7vA����N cz5� e,�eS�AKc 1�.��J �eFi�. W� �rSic� ��•1�Sz-c <br />ElectricalCont�aMo� MailAddress � City Stale2ip Phone <br />iV Ei'IZ6SC0�3 I � "� <br />State License Number � <br />pC�rF � C� <br />Proposed Use of �uilding ' _ <br />�escriptian of Work to Be Dune: � <br />o� E <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF FVERETT LOCAL SALES TAX CODE IS 3105 <br />1 he�eby certi`y lhat I have read <br />correcf. All provisiens olla�vs a <br />wh�fher specified herein or not. <br />violafe or cancel the provisions <br />pcAormance olconstruction. T <br />work lor which application is me <br />296200 WAC. <br />examined this <br />comply <br />and know fhe <br />�pe ol work w <br />� �i, I�SQO_' <br />Contract Price of Work <br />��Ca'T{-- � l Y�tvlal'L 5� <br />Contact Person (Plan Review) <br />G1U <br />; to be true and <br />compleled <br />ie aufhonty fo <br />!ian or the <br />o peAorm fhe <br />827 RCW and <br />FEE <br />�� <br />� I' <br />� � /�� �� `� <br />�� <br />