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F:b.21. 209E �:41F61 <br />f <br />9 <br />No. ui�is <br />E:LECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-6857 — www.everettwa.org <br />APpI.ICATI0N5 ARE ACCEPTED FROM 8 AM TO 4 PM <br />., n , � , <br />� -� , �ii � u � � �v—<<—�� <br />���-'.�_�a��c.- � �-� S� <br />PROJECT ADDRESS � <br />owner <br />Tenant <br />Mail Address <br />Mall Address <br />Mail Address <br />� .�� •� � � ��� <br />:, ,� <br />�.n��r r��_ <br />Proposed Use ot Bullding <br />Description of Work to Be Done: <br />City <br />Gliy <br />NOTE: WIRING IN NON-OWELLINGS IS REQUIRED 70 <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT IOCAL SALES TAIC CODE IS 3105 <br />1 hereby certilv thaf 1 hav_e read end ezaminod this apAlici <br />or <br />made <br />end know <br />�pe Of wo� <br />��+me� � <br />^-�n����,�,� <br />rn� <br />Ua5•.� •&�'- <br />State2p Pnone <br />State2lp Phone <br />Stat92ip <br />� l 1 � 4 d� <br />Contracl Price of Work <br />Conlact Person (Plan Revisw) <br />e to be true and <br />CORlpleted <br />✓e authonty fo <br />flon or tho <br />'o perfonn the <br />'8.2'7 RCW and <br />FEE <br />� �JIJ. � <br />Phone <br />�o�oz-r3�i <br />