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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERfVIIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />5��s s� �v���-���� "�y <br />PROJECTADDRESS <br />�IGG� C�rC�Y�i�'�� �GG ��?�� Ihc,,n Sy� �Z���'V�C 1�f3' ����I <br />Owner Mail Address Cily State2ip Phone <br />5�`,n}- ��,s �EPUe�e�- ir<,�l �-�+� Ecr�e�!-� G��t- �dzo 8 <br />Tenant MailAtldress City StatelZip Phone <br />�v.er���r�e� Fet�r�����,�on 7a�� �y�h �, .J��ffle W�- G��u� �-���- <br />ElectriCal ContraCtor Mail Address Ciry State2ip Phone <br />�-V��G�G`Ii7(�� <br />State License Number <br />Proposed Use oF Building <br />Description of Work to Be Done: ��� II ( 2� ��� 1 �� � <br />NOTC: 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 applicatron and know the <br />vivs and ordinances aovemina this tvoe of work w <br />3 � �, <br />C tract Price of Work <br />1�6 ( av✓-� <br />Contact Person (Plan Review) <br />FEE <br />to be true and <br />and <br />�c�a&-IS G <br />11 <br />