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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 — tW✓w.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />�5 �F <br />Owner Mail Address City Slate/Zip <br />Tenant Mail Address City Stale/Zip <br />Electrical Contractor Mail Address <br />StateLicenseNumber <br />ic <br />4 i r <br />Proposed Use of Building <br />1d i� <br />Square Footage (If re dential new construction, remodel or addition) <br />Description of Work to Be Done: <br />J,P l)(fcl <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 3105 <br />I hereby certify that I /lave read and examined this appliicationr amend <br />1)-`5-11 <br />'t -;L-ta -00' <br />Phone <br />Phone <br />V reTz%z <br />City Slate/Zip Phone <br />30DD � <br />Contract Price of Work <br />Contact Person (Plan Review) <br />>ame to be true and <br />I be. completed <br />o givo aulliority to <br />fruchon or the <br />rty, to perform the <br />3w 18.27 RCW and <br />-9d/j <br />L <br />FEE ' <br />qs <br />