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ELECTRICAL PERMIT <br />APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, <br />WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org N _ 66 -a S <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT <br />& CREDIT CARDS ARE NOT ACCEPTED <br />PROJECT ADDRES <br />-( p�z Menlo lJ�►2M�1U/� <br />at4s4 cl ,?(A <br />Owner' Mail Address City <br />State0p Phone <br />Tenant Mail Address City <br />State2lp Phone <br />t/00t OWAIL 5AHL P"s Pf ouc- <br />Electrical Contractor Mail Address City <br />State2Jp Phone <br />State License Number <br />Contract Price of Work <br />(( [[ 1I <br />bgwe 5iojl fONtIJ �AFIIIfI��Nr.JJ �JriL <br />Proposed Use of Building <br />Contact Person (Plan Review) <br />f <br />�i LY> f l HA01[f_t4(Ut(0 "£, <br />�At� VOk1Q2 <br />Description of Work to Be Done: <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, VIC OR AC CABLE. <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that 1 have read <br />correct. All provisions of laws a <br />whether specified herein or not. <br />violate or cancel the provisions <br />Performance of construction. T <br />work for which application is mE <br />296.200 WAC. A <br />this application and know the same to be true and <br />govemmg this type of work will be completed <br />of a Der nit does not aresume to dive authority to <br />and <br />