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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES 3-9-''� <br />3200 CEDAR STREET, EVERETT, WA 98201 G � l03 —a3% <br />425-257-8810 - FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />I' 0 oL, l.i/' ,/�l u i-�,' H c� !✓r�'v � <br />PROJECT ADDRESS <br />IU(�fi"0(l �h `� - ( <br />Owner Mall Address City Stala/Lp Phone <br />Tenant <br />Jeuve� L Ip <br />Electdcal Contractor <br />Mail Address <br />Mail Address <br />�C i?C � <br />City <br />� t7R. �'I/w <br />Clty <br />� ��t-v�� � o�� �L <br />State License Number <br />I�C�CC � ��-' �K;✓ <br />Proposed Use of Bullding <br />DescripUon of Work to Be Done: �� E,� ( G <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 3105 <br />C�� <br />read and examined this application end know the <br />iws and ordinances novemfng thls type o( work w <br />State/Lp <br />Stale/Lp <br />2 0� DOQ. <br />Contract Price of Work <br />Phone <br />t� ]-S ' <br />� 3Sy- <br />Contact Person (Plan Review) <br />a to be true and <br />complefed <br />ve authority to <br />Bon orfhe <br />'o perform the <br />'8.27 RCW and <br />v( � <br />Phone <br />FEE <br />�� . <br />��o3-d.�7 <br />