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E�ECTRICAL PERNl1T APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �_� _q <br />3200 CEDAR STREET, EVERETT', WA 98201 r � v <br />425-257-8810 - FAX425-257-8857-www.eveiettwa.org C-���� �b <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />9 �I- ��/�-� f� <br />PROJECT ADDRESS <br />Owner <br />��>�1 v1's i <br />Electrical Coniractor <br />Mall Address <br />s� «S <br />Mail Address <br />;��...A � � <br />Maii Address <br />��Hr�s�z�b ol�t <br />Slate License Nurrber <br />Proposed Use of Building <br />Descriptlon of Work to Be 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 3105 <br />I hereby certily that I hav_e read and examined ihis applic <br />made <br />Clty <br />Clty <br />SO <br />iow the <br />work w <br />� <br />State/Zip <br />Phone <br />�qa)�-69U <br />, <br />Slate/7Jp Q� �r �q Phone <br />� � c{... <br />� T�`�'^�a 2t'Z) 2 <br />SWteZp Phone <br />�3.d-o� _ <br />Contract Price of Work <br />Conlact Person (Plan Review) <br />e io be true and <br />completed <br />ve aulhonry to <br />tion or the <br />'o peAortn ihe <br />�8.27 RCW and <br />S P� �-� <br />FEE <br />�I l ��- I � � <br />