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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �a—o�--�( <br />3200 CEDAR STREET, EVERETT, WA 98201 �.���� �-0�2 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />��1Z3 �. <br />PROJECT ADDRESS <br />7�'.�i/e 1,J�C <br />Owner <br />APPLICATIONS ARE ACCEPTED FRO�d 8 AM TO 4 PM <br />Mall Address <br />City <br />State/Zip <br />Phone <br />7 <br />Tenant Mall Address Cily State2lp Phone <br />yLS� <br />lilit CI�I� CI�E�� ��-r.oj� /�J.C�oX ZG'%l Shaliaa� sL i.tic. cl�Z�/ .37�8'�sS� <br />EleclricalContractor MallAddress City SlatelZip Phone <br />�L i� ���a rr 7/!�/J- <br />Slale License Number <br />l!!�1' � �'_�� /!i�-i� <br />roposed Use of Building �7 <br />Descriplion of Work lo Bo 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 />read and examined fhls application and know the <br />�w.c nnd nnirnances aovemina this tvne ol work w <br />or <br />%/l li �� <br />Contract Price of Work <br />Contact Person (Plan Review) <br />e fo be frus and <br />complefed <br />ve aufhonty to <br />fion or fhe <br />'o perfomt the <br />'8.27 RC W and <br />�e �� SD <br />`,II�^�I� <br />