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ELECT�RICAL pEE�MIT �tPPLIC�TI4N <br />CITY OF EVERETT PERMIT S�RVI�ca s <br />3200 CEDAR STREET, EVERETT, WA 982U i <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM'�O 4 PM <br />EVE ✓k; j'r <br />�0(� S� t�t2 x.�A�-� V ; <br />PROJECT ADDRESS ' <br />Owner <br />S <br />Electrical Contractor <br />Mail Address <br />Mail Address <br />Mail Address <br />�(�lr`'1 ���I`i t,�, - <br />Stale License Number <br />ocY��2 <br />Proposed Use of Building <br />City <br />, �; <br />City <br />A�E �%� <br />Cily <br />� �O <br />Square Footar� (If residential new construclion, remodel or addition) <br />State/Zip <br />SlatelZip <br />State2ip <br />Phone <br />Phone <br />- �/S�" <br />Ph�ne <br />c�oGS�SaBs � <br />8.��� <br />Conhact Price of Work <br />Centact Person (Plan Review) <br />Description of Work to Be Done: /74�1 ��� ���J TIE � VF�,E F!i/41/I % U� C. TO <br />EJCISTI�o h1ow�� IN C.C���.�NCo " L—'vi^^'_' 'P�^.C� ��-I�I�`D✓ — <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 />I hereby certify (hat 1 have read <br />correct. All provisions o//aws a <br />whether specified herein or not. <br />violate orcancel the provisions <br />pedonnance of constnrcfion. T <br />work (or which application is me <br />296.200 N'AC. <br />this applrcalion and know fhe <br />ooveminq this lype olwodc w� <br />� <br />to <br />FEE <br />and ��ZI (�! «) <br />to <br />and <br />