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�LECTRICAL PERMIT APPLICATION <br />CETY OF EVERETT PERMIT SERVICES <br />3240 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />/N 3� w� MuK«T�—v f����,� E�FRFi�'� w�R�9-�3 <br />PROJECT ADDRESS <br />�i.�'^ iL3� <br />Tenant <br />Electrical ConVaclor <br />State License Number <br />Proposed Uso of Building <br />f �{ 3 3 u- <br />Mall Address <br />Mail Address <br />Mail Address <br />Descriptfon ot Work to Ba Done: �� <br />�I� 4'�� <br />Clty <br />City <br />City <br />}�--C�� C� va 5�-- V' � C sc-' O t,� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED l'O <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certily that I have read end examined fhis application.and <br />�.ZS..Sb� • 7�(d <br />�,wL�{fi wn- � �' � 3 <br />SWte/Zip <br />State/Zip <br />Slate2lp <br />Contract Price of Work <br />Contact Person (Plan Review) <br />� <br />Phane <br />Phone <br />Phone <br />FEE <br />a to be true and � �� u�_ ` f b <br />completed <br />ie aufhority to <br />tion or the <br />o perfortn the <br />8.27 RCW and <br />