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( <br />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 /��,L <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />a YZ I r��� ��� � �� L✓.�rr�t-� <br />PROJECT ADDRESS <br />Owner <br />Tenanl <br />�yz7 <br />� �1 � �� t s� 14f�S1o� �[P1 <br />MailAdArass /� <br />Mail Address <br />CJ—�AO� I�..L�' [�79 �{� I�f/P i <br />Coniraclor Mailhdd�ess C���..( F # <br />O <br />���ir�-� 2L %�.1 D� <br />State License Num6er <br />Proposed Use of Building <br />Square Footage (If residential new conslruction, remodel or addition) <br />Descriplion of Work to Be Done: <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 />rnad and examined this <br />or <br />City <br />City <br />9-/ <br />C- /'�l�9 �o � <br />State2lp <br />Stale2ip <br />Stele2ip <br />y2 s- <br />��&� <br />Phona <br />Phone <br />O�� <br />Phone <br />�� � <br />Contract Price of Work <br />�,(.av�N lGiaru�� <br />Contact Person (Plan Review) <br />FEE <br />e to be true and ��a, ^�— �Sg' <br />completed <br />�e aufhority fo <br />tion or the <br />'o pedortn fhe <br />8.27 RC W and <br />