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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 6 AM TO 4 PM - DEBR 6 CREDIT CARDS ARE NOT ACCEPTED <br />_371`�� �v�+111 ,J'JI�v� �� ,�rn{I �,v'N �f�20I <br />PROJECTADDRE3� ` � <br />�,,�r�iz N-�c�',atz;; .3u�, ��letm�;�reRv�./ <br />�e� Mail Addrees �ny <br />Tenant <br />� <br />Meil Atldress <br />� <br />Ciry <br />�,'.._r� 9�u�� lyz5� <br />State/ZJp —Y <br />ii i <br />StatelLp <br />,, �- <br />Phone <br />Plpns <br />l�LLLrC'� 1�(tl.��`�c� 1ZZ1 `..I � <br />• t'� �y �[= v� r t1 ��' li �i'i'01 �4�75-,� Sx �i s5 <br />Electncal COnVac[o� Mai� Atldress Ciry Sfate2lp pq�y <br />Sc>iu � Tr-�c , i i.;,� <br />State License Number " <br />�i.+�S�llel'�:, �'i.: �ri,r7�a <br />Proposed Use of Building <br />�D (�1. � <br />Cantrad Price ot Work <br />V�Clull(, �L1�Y1'Vll'_�(>r' <br />ContaC�Persan (PlanReview) <br />Description of Work to Be Done: '��K'�(ti � �(� -�–i �-, � � (> � ��; �•, y� � ��-C.l� a� � <br />c� „ . . . . � n . !. . � ��_ <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED "0 <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />` <br />�� <br />id <br />id <br />FEE <br />