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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 />Zily �l�i�GrNi<\ <br />PROJECT ADDRESS <br />5-0a--+Z <br />� ia�s�l�-( <br />CTO N �LP��- <br />OWner Mail Addmss City Slale2ip Phone <br />7enant <br />Mail Addross <br />City <br />Stale/Zip <br />Phone <br />S��r��� I T C��-i�-� c� �"�3 Zb15jSfi NW STRnI;,i mD w�, a8z52 <br />Eleclrical Contraclor Pdall Address Cily Stale/Zip Phone <br />� �2.5 :��`� 5751 <br />Slale License Number <br />U��-ac�� _ <br />Proposed Use of Building <br />Descriplion of Work lo Do Done: (J-� � I— � N C� ir /� ►�-A C�.(�. <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 IF 31G5 <br />296. <br />read and examined fhis <br />�Gu <br />Contracl Price oi Work <br />57�, t� <br />Contacl Person (Plan Review) <br />e same fo bo (rue and <br />will6e complefed <br />e to give authonfy fo <br />mstruchon or Ihe <br />....-- �- J�' 2.`� �- <br />FEE <br />75 °O <br />EIZ05- ��'� <br />