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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www everettwa.org Dt <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />4>��'` cx��Pres I�1_,,� i,#y WOW, Olq O 181 qab Yb <br />Owner Mail Address City StatefZop Phone <br />ff rr I� r <br />f1 g5Ay-\ay �S IMaeket D. _ j asD 411en 11f 7Sca3 711-(o2d c�d <br />Tenant Mail Address City State!Zlp Phone <br />Electrical Contractor Mail Address City State/Zip Phone <br />State License Number <br />dal St 4;°- <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Description of Work to Be Done: <br />NOTE. WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 5105 <br />I hereby certify that I have mad and examined this application and know the <br />-.-,....,.I All .,r Inwe and nnlinances orovemina this typo of wort( w <br />Contract Price of Work <br />Contact Person (Plan Review) <br />9 to be true and <br />completed <br />re oulhodly to <br />lion or the <br />o perform the <br />8.27 RCW end <br />FEE <br />EI Zug- O) (o <br />