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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 />j -732 iIwE Luca- A rzyzof <br />PROJECT ADDRESS <br />Mail Address City StatelZip Phone <br />Tenant Mail Address City State/Zip Phon^ <br />Electrical Con ractor Mail Address City StatelZip Phone <br />E A �y.4ir' <br />Stale License Number <br />Proposed Us3 of Building <br />is0 <br />Square Footage (If residential new construction, remodel or addition) <br />Description of Work to Be Done: '12 et'j� I x'(-k1^I _ <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 />y celtity that 1 have read <br />. All provisions o/laws a <br />r specified herein or not. <br />or cancel the penvisions <br />lance of conspmction. T <br />this application and knew the <br />aovem!no this lvoe of cork w <br />Contract Price of Work <br />Contact Person (Plan Review) <br />e to be hue and <br />completed <br />re aothonly to <br />tion or the <br />'o perform the <br />827 RCW and <br />FEE <br />CI <br />