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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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />R -a b —1 z <br />G�fv J <br />Owner Mail Address City State/Zip Phone <br />Phone <br />Tenant Mail Address c City D State/Zip <br />Ers /rx ly, 4eGprSezr ✓7` .Sryllb—( 3wn-e tP19 �c���� 1/Zs773� <br />Electrical Contractor Mail Address City State/Zip Phone <br />f - - E-VCRC-1aS90gC1j Contract 1Wor0._ <br />State License Number J nt- <br />f t .SLo PiV //e 5 I CsP 6i- <br />Proposed Use o riding Contact Person (Plan Review) <br />Square Footage (If residential new construction, remodel or addition) <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have read <br />correct. All provisions of laws a <br />whether specified herein or not <br />violate or cancel the provisions <br />performance of consprirction. T <br />work <br />application Is me <br />200 WA <br />%ozS-/O2 <br />to be true and <br />'mpleted <br />r authonty to <br />