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ELECTRICAL PERMIT AP'PLICATION <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 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />fr.(� � ,Q�4/l./�G' /G �i1P. <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />Ciry <br />Ciry <br />State/Zip <br />State/Zip <br />Phone <br />Phane <br />/Y�n� �P.��T %l0-r'1 �s� s w m�l,�iL7Po !-v�9 �1�?,7SJ <br />EledriCal ContraCtOr Mail Address Clty State/Zlp Phone <br />�r�-z . P,s 2.� i1,vF' <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN R,4CEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certi(y that I have read <br />correct. All provisions o/laws a <br />whether specified herein or not. <br />violate or cancel the provisions <br />performance o/conswcLon. 7� <br />work lor which application is ma <br />296.Z00 WAC. <br />this application and <br />law <br />to <br />�% U� � <br />ConVact Price o( Work <br />Contact Person (Plan Raview) <br />and <br />to <br />and <br />FEE <br />