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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 Z��9 � g <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />�goZ-J� 3 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� �� �j- �oa u �, , �vP�v,c�, cvp. <br />PROJECTADDRESS <br />ONT10f <br />Tenant <br />Mail Address <br />�c�,rfs a <br />Mail Address <br />� !D <br />Mall Address <br />�Y V�G'� q�� T1 <br />State License Number <br />Proposed Use of Building <br />Descnption of Work to Be Done: 1� <br />G 7(� �E�iCC; S <br />Ciry <br />, <br />City <br />/ ,�`97 ' /�'Y�— <br />State2ip Phone <br />—�'�„��/n��i <br />State2ip Pho�ie <br />StatelZip <br />�2s� L3� 72� � • <br />Contract Pnce of Work <br />Contact Person (Plan Review) <br />�J ?� � <br />i U �! Oh <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 3705 <br />1 here6Vi certily fhat I have read and examined this application and <br />or <br />is made <br />� to be true and <br />complefed <br />;e authonty fo <br />!ion or the <br />a perfomi the <br />8.27 RCW and <br />,�-(9-auv� <br />FEE <br />��� ' <br />Phone <br />� ,;U3�1�� <br />