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f <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF �VERETT PERMIT SERVlCES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - tvww.everettwa.org <br />C� v 1? Y�. ,c�f a <br />PROJECTADDRESS <br />Owner <br />Tenant <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />;,oi;. L��� <br />(,,pUj �c(���G <br />Mali Address <br />Mail Address <br />� vt�-e ft w✓� <br />City <br />City <br />State2ip <br />Slale/Zip <br />Phone <br />Phone <br />� w.�- y oC �� � a' oS'69 <br />L�ihfcr Licc.lnc_ 3�/ NL �/7� st. .S�,�l'� <br />ElecUicalContracto� MailAddress Ciiy Stale2ip Phone <br />L✓-�N1-te T�SZOH <br />State License Number <br />,b�t �e <br />Propo ed L'se of Building <br />Square Footaye (If residenlial new cons�ruclion, remodel or addition) <br />u�' �CTL'� , ..... <br />Contract Price oi Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: /T'<<�� ``� w} +'� �� '��s G� al �l-;...r r i <br />a�„ f ,I J d-' ,^^�o • � e' �G %J- o� d"v �`>` -- <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 3705 <br />read <br />this application and <br />goveming fhis type <br />�! a permd. does not <br />s to be true and <br />completed <br />re aufhonty to <br />tion or the <br />o peAorm the <br />8.27 RCW and <br />/ b -i j'-I 2 <br />FEE <br />�� �So� <br />E�Z��' �z� <br />