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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 - www.evereriwa.org <br />�_��-05 <br />c�05o 1—I �S <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 3 CREDIT CARDS ARE NOT ACCEPIED <br />/� 2 O f�i �A,�,o �1�� <br />PRW ECT ADDRESS <br />Owner <br />/a✓1� <br />Mail Addreaa <br />Gry <br />State2ip Pfrone <br />F �1s A�� <br />Tenant Mall Addma6 CNy stare2ip Phab <br />UI�7Li LA/I �L/ :c_/�JC � �� <br />Electrical Contrador Meil Addreas <br />/�JL-���,.- .-'� �ns� �-9 <br />" Stata License Number <br />Proposed Use of Buiiding <br />Ciy <br />Slate2ip Plwne <br />�3o-a <br />Contrad Price of Work <br />Conted Person (Plan Review) <br />Descriptian ot Work to Be Done: <br />�nD ,� ;�-���: .�'.ve /�s'C��.�'r74c�.Fs <br />NOTE: VNRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7706 <br />read and examined fhis <br />om�t� and <br />r auGwrity ro <br />and <br />FEE <br />1 <br />