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� <br />�.. <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETr, 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 8 AM TO 4 PM <br />� ti�� i � ��� �oL._. ��_.��.G�/ �s'` <br />PROJECT ADDRESS ,/' <br />r/ <br />� e.� � - <br />owner <br />Tenant <br />���f�Qr� . <br />Electncal Contractor <br />State License Number <br />Proposed Use o( Bul'ding <br />, , <br />�N_ - s �9 . <br />Mail Address <br />Description of Work ta Be Dcne�. <br />��— <br />Matl Address <br />Mail Address <br />`�oo,ar� �v� <br />Ciiy <br />City <br />� " 1�3r<i 5t . <br />City <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />z�, v , .7f30 . cCo � <br />,� NA 9�.z�� <br />Stale�Zip Phone <br />State/Zip Phone <br />, 7�.,7,5. 7J C. 9 S�C_ C <br />Slale/Zip Phone <br />_�- n �v <br />Contract�Pnce of Work <br />Contact Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certdy that I havc read and esamined this applrafion and kno�v Ihe same to be frue and <br />corract All provrsions o/ /a�vs and oidrn�mces 9ovemrng fhis rype ol �ro�k n�rll be completed <br />n�hethe� speahed heiein oi not The granbn,q ol a pemnf does not piesurne (o give authonty fo <br />wolafe or cancel fhe promsions o/ other state or local la�v iegula6ng consVuchon or the <br />perlomrance o/ construc6on. at a authonzed by fhe on�ner ol fhis property (o pedam Ihe <br />work /o� which aGt�Gca6on is racle and f c,omply �y�(f� e Sta(e Contr. cfors La�v 18 27 RCW and <br />296.200 WAC. y ,� / l . <br />r � <br />�/V _ <br />FEE <br />/ �L� <br />��� _. <br />