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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.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM <br />30 � O ��m,�� � � <br />PROJECT ADDRESS <br />�Te.�-Q <br />Owner <br />Tenant <br />se� <br />Electrical ConUaclor <br />, ?� <br />Mall Address <br />� �[.a <br />Mail Address <br />27 0 ( <br />Mall Address <br />State Lfcense Number <br />�%1�Y1 TC` l� Q.�-t 11 ✓% <br />Proposed Use of Building <br />0 <br />Description of Work to Be Done: <br />a <br />City <br />� � <br />City <br />� <br />�� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC ORAC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 here6y cerfily thaf I have read and examined this applicafion and <br />i <br />ro <br />State/Zip <br />S1ateZp <br />Stale/Zip <br />a -�� -rZ <br />�) Zo �'-o°E ) <br />Contract Price oi Work <br />Contact Person (Plan Review) <br />25 �73 j� <br />�,�,e <br />v Phone <br />��rug <br />�,«�e <br />FEE <br />and ��2�Z' ��'1 � <br />to <br />and <br />:—/�-2a12- <br />