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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.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�ra S i S �_ <br />2' <br />PROJECT ADDRESS <br />it L5 <br />t. for S 521L7u•1zK Mf <br />Owner Mail Address City State/Zip Phone <br />Tenant <br />Electrical <br />Stale License Number <br />r5 r- Iz <br />Proposed Use of Building <br />Mail Address <br />Mall Address <br />City <br />Cry <br />State/Zip <br />State/Zip <br />r.. <br />OC) _ <br />Co tract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: 1 ! 1 +\ 1 t NA w I �—'%i <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 />id <br />Signature Date <br />FEE <br />Phone <br />Prone <br />