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i <br />� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />'i200 CEDAR STREET, EVERETT, WA 98201 g�l 3.—I Z <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATION$ ARE ACCEPTED FROM B AM TO 4 PM ���°p� <br />q13 C�b� l�,e ,Ev��e� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />�o goz glatj <br />AmQe� C1Cc��t'1C. ar� Nlec6�a+�i� <br />ElectricalContrador MailAddresa <br />AMPCDEM R0�17� — <br />Stale License Number <br />QeS� a.2.n h c�l I� V�/L({ <br />Proposed Use of Buitding <br />Square Footage (If residential new construction, remodel or additfon) <br />City <br />City <br />City <br />y?5 - 35D <br />w� � <br />Stale2ip <br />State2ip <br />�� q <br />SlatalZip <br />�p,.,,n s0 <br />(J�,CJ <br />Conlrad Price of Work <br />Contact Person (Plen Review) <br />Phone <br />Phona <br />yzs- � � <br />Description oi Work to Be Done: W.�� f� � h�''� ��r �'� ��� �� �M'1- ' <br />tx�sknh �s�ni1S ctlreuc�� '{ke�, <br />� <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 />I have 2ad and examined this application and know fhe same to <br />ns ollaws and ordinances goveming lhis rype of work wil! be, con <br />FEE <br />50� <br />a^d ���g� �J� <br />and <br />