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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />li 425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />1� 1 Olr' APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />PROJECT ADDRESS <br />Owner <br />3'"d 5 C — C— vereW, wiliq 9 ,?Z-0 3 <br />Mail Address <br />City <br />State/ZIP Phone <br />Tenant Mall Address City State0p Phone <br />C3'o')GsI-z/9Z <br />awes %C711L - 13-x(,5 11V` dte /,�'C 21g6t2G/A �J�zal <br />Electrical Contractor Mall Address City Slatealp Phone <br />-(owere 4�o,00e (P,LAId) <br />State License Number Contract Price of Work <br />jorg� V- 2r,61�s- <br />Proposed Use of Building Contact Person (Plan Review) <br />L <br />Description of Work to Be Done: l 1(i1 <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 />1 hereby codify trial 1 have read and examined this appfia <br />and know the some to be true and <br />;not ppresume fo givtri completed to <br />legureting construction or the <br />er of this roperly to perform the <br />Contractors Law 18.27 RCW and <br />FEE <br />