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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8610 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��-,,� �Il�i�� , I-� = ��� II INU2. S. r. l�lwll ��..� <br />PROJECT ADDRESS <br />Ovmer <br />Mail Address <br />City <br />' bL�S <br />Slale2ip Phone <br />S� - � 7P,f i �4�2 S�" LJcn.I�F MJII �,a,,.{ LVcf �-� 1c��1 ��2D$ <br />Tenanl MailAddress City StalelZip Phone <br />Contrador <br />�+r1�.� e I O7'7 3nl <br />Stale Lice e Number <br />P � ��-` <br />Proposed Use of Building <br />Description of Work to Be Dane: <br />Address <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OP EVERE7T LOCAL SALES TAX CODE IS 37D5 <br />I here6y certi(y fhat 1 havo read an� <br />correct. All provisions o(laws and <br />whetherspeci�edhereinarnoL TI <br />violate or cancel the provisions of: <br />performanceofconsfrucfion. That <br />work for which applicafion is made <br />296.200 WAC. <br />�, i <br />� � ✓'���� <br />this application and <br />Cily <br />7- ?I - zoo`� <br />fo <br />SlatelZip <br />� ?�{, c. <br />Contrad Price of Work <br />���L /�/�^ <br />Contacl Person (Plan Review) <br />and <br />FEE <br />�a� a -ras- <br />Phone <br />