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( <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 — vwvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��O SE �"v�re� 11�Ic�<<� � � � 2- <br />PROJECTADDRESS <br />Owner <br />Tenant <br />Electrical Contractor <br />Mail Address <br />Mail Address <br />��. -�' E L�� I �Z <br />State License Number <br />V�k.� � � 5�o r � <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Descriplion of Work ta Be Done: <br />City <br />City <br />�� �.�/�, <br />C�2o �'�`�2 <br />State2ip Phona <br />� / � Q �� <br />StatelZip �� Phone <br />'h271 � ,r.,F_'7"7 <br />City U � Stale/Zip Phone <br />3 go v <br />Cont act Pnce of Work �/' <br />l ("� / <br />Conta t Person (Plan Review) <br />Gi <br />rn�� P�c,P� 6� P,i r�� �� ��t-5 <br />1/�..���1 —ri � . `.Lr � .d�n� n S. c n,.� �i� � !)n � O. � 11 �I�r� . <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 />! hereby ceRify that 1 have read <br />correcf. All pmvisions oflaws s <br />whetherspecified herein ornof. <br />vio!ate orcancel the provisions <br />peAomtance of construction. T <br />work for which application is me <br />296.200 W,4C. <br />this application. and know the same to <br />Z <br />FEE <br />and �� 2„O�- 002 <br />to <br />and <br />