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ELECTRICAL PERMIT APPLICATION <br />CITY Oi• EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8610 - FAX 425-25'-8857 - www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� f i �0 6lD�jBl�rJ �" � f�UiR �%j <br />PROJECT A DRESS <br />�u�i4 F'�U/ <br />Owner <br />Tenent <br />Meil Addre:s <br />Mail Address <br />City <br />City <br />� <br />�--��aa <br />�,zo��o�3 <br />r%� lvf�- <br />State2ip <br />Stale2ip <br />�/ 2 f 3�7 �f�3 <br />Phone <br />Phone <br />/�C✓NE � <br />Electrical Cuntrador Mail Address City State/Zip Phona <br />State License Number <br />Propos d � f Building <br />Square Foolage (I( resideniial new construction, remodel or addition) <br />Contrad Price af Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: ����.�Fc e �' �e c% ��� � u c e Pc �-s� �� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily that I have rtiad <br />correct. All provisions ollaws e <br />wheflaerspeci(ed herein ornot. <br />violate or cancel the provisions <br />pe�(ormanceolcanstruction. T <br />work for which application is ma <br />296.200 WAC. <br />fhis apnlication and <br />e to be frue and G 1'ad—} - O�-� <br />completed <br />ve authonty to <br />tion or the <br />b per/orm the <br />'B.27 RCW and <br />�ig"nAtGr6 � � j/ ' uata <br />,�� �.v /f L t s+.Ty /�".4-T�r e�- .� v s✓ iv c�( ^ Ct uTke /-� t e� lE' G Grc� <br />