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t <br />ELECTRICAL PERMIT APPLIC�►T14N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 5-9�/Z <br />425-257-8810 - FAX 425-257-8857 — www.everetiwa.org C!� 5�/ <br />.cJ <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />L �D �Z S � ���t M� w�2- <br />PROJECT ADDRESS <br />Owner n7ail Address Clry <br />( �� �`Ic; <br />Tenant <br />f��L S�� F.✓�e�r� <br />Mall Address <br />City <br />State/Zip <br />�✓�/Y� 1t/� <br />StateZp <br />Phone <br />�1� <br />Phone <br />�,u�t�� �ts� �� ts � o� �r� � 5 �/� ����w�a wf+ 9�� � <br />� State/ZI Phone <br />Electrical Contractor Mall Address Clty P <br />w�� ���tl �'?3 lSl' <br />State License Number <br />Proposed Use of Building <br />Descripl(on of Work to Bo Done: <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 />� <br />1 hereby certl(y that I have read and examined this application end know the same to <br />......n�� ei� „�„„i�i.,,,� �naw� A�d nrriinances oovemino this fvpe of worlc wi116e con <br />� <br />3 �' _ <br />Contract Price of Work <br />Contact Person (Plan Revlew) <br />^n� <br />FEE <br />�� � <br />and � I �� j ~ ��� <br />to <br />