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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SEF2VICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FA:C 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />C�� l�'-r� vc.�'��i' ( S cG �- �{ � 7'�' S'� ��l(i <br />� � <br />�. <br />��l �f�' ,T—Ti�, , r% -- <br />PROJECT ADDRESS <br />� `�i � 1 l��S�'M .� <br />Owner � M:�il Address <br />Tenanl Mail Add�e: s <br />I �rv � <br />Ele�lrical Contractor Maii nddress <br />I�r ��" /'� J ) (; /% !Z <br />! �t; L t ��--L <br />State License u ber <br />Pro �y ( <br />d e of 6uilding <br />pescription o( Work lo Ge Done: <br />�il _,�LL 1��711- �' <br />c�ry .f7 s.�/'� <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 />I hereby ceRily Ihaf I have read <br />correcL All provisions o/laws � <br />,vhether specdied hereir, or not. <br />✓iolale or cancel fhe orovisions <br />other <br />fhis annlication and <br />__� <br />City <br />Cily <br />State/Zip <br />Lf � <br />State/Zip <br />.,•..,- H- <br />� Phone <br />� ��/ <br />Phone <br />�'`��%��c�'%�JU <br />Contracl Price of Work <br />Contact Ferson (Plan Review) <br />� to be We and <br />completed <br />re authority to <br />tion or the <br />o perform the <br />8.27 RCW and <br />FEE <br />�c;�.GS-U8` <br />