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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />�-au �ao <br />C1469 �al <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />���, Q 1..� ��C� Q� �i.� ��I <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Mail Address <br />Mall Address <br />Cily <br />City <br />State/Zip <br />StatelZip <br />Phone <br />Phone <br />?v�Noua�we 12c���e ��e QO G�ox (,'��;3 �.�,v��uc�c\�,.)R �1�c�3�, <br />EleGtrical Contfaclof Maii Address Clty SlaleZp Phone <br />'�'NNoV � a� \�C E <br />State License Number <br />�� ll`CUl.,\ � C/ �- <br />Proposed Use of Building <br />i �. oo a <br />Contract rice of Work <br />Contact Person (Plan Review) <br />Descriptian of Work to Be Done: �lG �Qn v lC Z�BC(�L'�C�/` C\�Cl/.1.�'S aMC'� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL 5ALES TAX CODE IS 3105 <br />I hereby certi(y fhat I have read <br />correct. AU provisions of laws a <br />whsfher speci�ed herein or not. <br />violate or cancel the provisions <br />perlormance o/construction. T� <br />work for which application is ma <br />296.200 WAC. <br />fhis application and <br />s to be true and <br />complefed <br />ie authonty to <br />tion or the <br />o pertorm the <br />8.27 RC W and <br />FEE <br />Ctcro4-I21 <br />