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ELECTFtICAL PER.I�ifIIT APpLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-8857—www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />�r,`Z��% �,i .L(_.( � �l `'1�1 G �.1 � �e.!l. `=j�t. ,� ��--' �� <br />PROJECT ADDRESS � <br />� <br />Owner <br />Tenant <br />� ��a�'�r� <br />Mail Address <br />Mail <br />COOlf8Cf0( Mail <br />(�, ����� � 1 ���=�, ,� -�>>l�� <br />Slat�'License Number� <br />Proposed Use of Building <br />Description af Work to Be Done: <br />� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED'(O <br />BE IN RACEWAY�, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br />City <br />Cily <br />State/Zip <br />State2ip <br />Phone <br />; � ( �L�.L � �._f . � /, y� <br />Phare <br />f-ii iP _, ��e .i �� ��( i o�=s-/ «� a- �c <br />Cily SlalelZip Phone <br />� �:�- ��' <br />Contrect Price of Work <br />Contacl Person (Plan Review) <br />FEE <br />� <br />as -��e' <br />�� 1 <br />