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ELECTRICAL PERNlIT 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 S AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />.� oS S', E. F�/T'��-Ff- �,�tu �-c ,,,� � <br />PROJECT ADDRESS <br />Electrical Contractor <br />r ��� S. � ��✓2� ✓%��{' <br />Address City <br />��'� S E• <br />/ EVR-eTl tuc, tt <.,,,. , E <br />Address c� City <br />��S O I�� <br />Address <br />5��,� � ��G d:�c�/ v��3 <br />Stat�se Number � <br />t2�-fi�� c <br />Proposed Use of Building <br />El.'�re-i`� L-�-D� <br />Stale2ip <br />Phone <br />Gi <br />-r' u'�"ti L1'� � /2 GU <br />Slate2ip�%��$s Phone <br />��� <br />City S�ate2ip Phone <br />/� zxr I I <br />,�ou,`''° / �L.�� out.. <br />Cnntract Price of Wor � <br />Jl�^�1 in11�1R� <br />Contac� Person (Plan Review) <br />Description of Work to Be Done: �<�W1oUP � x! 5%1 �C/ ��« '1/V%O li.i1�F,..e sl � H <br />�1��,% L t 1�?8w ��-�-G �h LL/R Ct' (!LI Ci4 vt��r_� 7 14✓l � S+ �"f,P L C'lCa�tS <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 applirafion and know fhe <br />iws and ordinances goveming this type o/ work w� <br />�not. The granfing o/a permd does notpresume <br />or <br />to <br />FEE <br />and <br />, to <br />he � <br />and � <br />�� / <br />� <br />�� <br />