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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 8 AM TO 4 PM <br />��S � S C��S ��f <br />PROJECT ADDRESS <br />Owner <br />��S <br />Mail Address <br />City <br />StatelZip <br />Phone <br />Tenant Mail Address City SlatelZip /� Phone <br />Y�J���j <br />C� � C�l�Z 2 s2z '�tc��� l�-�e �!G �Z'Z�.���,ccY� �',�%7'J� Z <br />EleclficalContfactof Mai�Address City State2ip Phone <br />c; �'`-,�' � -��-'G'i��' ��� _ <br />State License Number <br />Il,�' S��'�l � Iii; � <br />Proposed Use of Building <br />�6�/ <br />Square Footage (If residential new conslruclion, remodel or addihon) <br />Description of Work lo Be Done: <br />�, t <br />isi <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />y catify fhat 1 have read and examined this <br />All provisions ol laws and ordinances gov <br />rspeci�ed herein ornot. The granting ol a <br />or cancel (he provisions of any othersfate c <br />iance o/consf�uction. That I am authonzea <br />and <br />1 <br />� l%� S� /7fJ( <br />to <br />�a-v <br />Contract Price of Work <br />Cont�on (Plan Review) <br />FEE <br />�� � <br />and � I�I I _ (o� <br />to <br />and <br />