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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES a`l �_d � <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org � OG O�j � D� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />__Z' �'' �1��-v� <br />PROJECT ADDRESS <br />Owner <br />Tonanl <br />Electrical Conlraclor <br />7�`� �l' <br />�dail Addross <br />�/�!�{-. <br />Mall Address <br />P.a°w� `fO.D3 �iyrn <br />Mail Address <br />�-Fi�G�.C7' c� 99E��.___, <br />Slate Liconso Number <br />�o S. <br />Prop�sed Use of Building <br />Doscriptlon of Work lo Be Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />City <br />City <br />Gty <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily thaf 1 hav3 read and examinod this apF���a��on ond know fho <br />correct. All nrovisions ollaws and ordinances govemmgJhls type o(work w� <br />Stale2lp <br />Stalo2lp <br />State/Zlp <br />Conlracl Price of Work <br />Contact Person (Plan Roview) <br />. <br />lo be We and <br />ompleted <br />� aufhoritv (o <br />and <br />FEE <br />Phone <br />Phone <br />=�cY—� � <br />Phone <br />�Ol.�a1 C�Q,y <br />