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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 982Q1 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 ANi TO 4 PM <br />1� o� � i �1� i�,.� 1��1u_ �� <br />PROJECT ADDRESS <br />'�D /1�-I � <br />Owner <br />.Q�'Si R i �U <br />Tenant <br />I,�Vh r i _r- �C <br />Electrical Contraclor <br />�= -- �� �� � ► Jg� <br />�� �,� �- ��i� <br />Slate License Number <br />�I }�z �Lc� <br />Proposed Use of Building <br />Mail Address <br />7�-a�v�N <br />Mail Address <br />r� <br />Mail Address <br />,�—� <br />Description of Work to Be Done: <br />��s� i s'�a�- s���� <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 />read and examined this application and <br />%' <br />�.�-v8oi-v33 <br />.�— <br />!�/l �C � u ��-c7 � <br />State/Zip <br />Stale/Zip <br />Slate/Zip <br />��,��o <br />Contract Price of Work <br />lMiu,= �.�A,Q�� <br />Contact Person (Plan Review) <br />e to be hue and <br />completed <br />✓e authonty to <br />tion or the <br />o per(orm the <br />8.27 RC W and <br />FEE <br />14z57 <br />Phone <br />Phone <br />253 <br />Phone <br />�ago� �033 <br />