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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �I -9�01? <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — w,vw.eve rettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />Sol 194h AI1�- SG <br />PROJECT ADDRESS <br />�n J ST�2E_ S Sv c o f� ►�^, ll l cT Q Nc y 2- <br />Owner <br />Mall Address <br />City <br />State/Zip <br />Phone <br />Tenant <br />Mail Address <br />City <br />Stale/Zip <br />ineno <br />�uS��'Z IN ��►2.q-�—i� +3i� Nw I�� PaRr�ro oa �177oq <br />Electrical Contractor Mail Address City State/Zip <br />�ls�►2 I T-y -3 VJ _ <br />Slate License Number Contract Price of Work <br />Proposed Use of Building <br />Description of N'ork to Be Done: V a4i-i5— c,-,-r/ <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 />1 hereby certify that 1 have read and examined this application and <br />ry <br />Y <br />Contact Person (Plan Review) <br />FEE <br />Phon. <br />co plated and <br />ve authority to <br />tion or the <br />o perform th <br />S.27 RC W aend <br />