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Feb. 15. 2� 1 3:13Pid <br />No. 0181 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EV�RETT PERMIT SERVICES <br />3200 CEDAR STREE7, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />ApPLICATIONS ARE ACCEPTED PROM 8 AM TO 4 PM <br />�� 3�. �i �ea'e.� i`�I �.1� 1� �, <br />PROJECT AD�RESS <br />Owner <br />ienant <br />aaaress <br />Mail Address <br />Mail Address <br />�����,�,n ..o a�,� <br />Ftate Lice se Nu her <br />�1� �r[.t0.� <br />Proposed Use of Bwid�ng <br />Description of Work to Be Oone' <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 3106 <br />1 hereby ce�tily thaf I hav_e read and ex�mined this applica <br />City <br />City <br />City <br />Stale2ip <br />SlalefZip <br />Slate2ip <br />� (D,F�D. Cla <br />Conlract Price of Work <br />P. 2 - <br />Contect Person (Plen Review) <br />iow the same to be irue and <br />work will be comploted <br />esume to pive authonty to <br />ing construcfion o� the <br />�is p/opedytoper�armtbe <br />actors Law 18, 27 RCW and <br />Phone <br />Pnone <br />Phone <br />