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o�iioios ��:i� r��x azszszsazc a��r,�u�� secuurrr <br />i <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT 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 <br />��� �ui'G.�G..°�" �I/�PJL(�" V��cLl�.t C�a-�a.. � 7.��� L1.i� �g?�ci <br />PROJECT ADpRESS <br />Owner <br />'/'7L1.11t.�n Li� � <br />Mail Address <br />' i . �, .. <br />City <br />Tenant � MaiiAtltlress ����y j� Ciry <br />��,.�L,f� �n��ev4�� ��.t�� IZGSf C <br />Electrical Conlreclor Address ���Y <br />���1� � ! I ?�-y <br />State License Number <br />� �nn �nn���e�ec� <br />Proposed Use of Building <br />Description of Work lo 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 TA7( CODE IS 3105 <br />I herebvi certily thaf I have reod and examined fhis applicofioq and <br />v,�t-� u�k c/' <br />StaleRip <br />SlatelZlp <br />e�- ���- q � � <br />StatelZip <br />'3`� gp, �-3 <br />Contract Price of Work <br />C�l ➢ YL� l �Sd�'l <br />Contact Perso (Plan Review) <br />e to 6e true and <br />comple(ed <br />ve aulhonly to <br />tion ortho <br />to peAorm the <br />18.27 RCW and <br />FEE <br />p ooz <br />Phono <br />Phone <br />Phone <br />� gp / - Q �� <br />