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L9 <br />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 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />17 <br />c�L � -7 00 S-r S , E <br />PROJECT ADDRESS <br />`' s"MTtitPi <br />3yaa. B YO) c)E iU F E-%k Q.E'r T <br />UA <br />11620S- <br />2S 391-130 <br />J ] <br />Q; b`1 <br />Owner <br />Mall Address City <br />Staleop <br />Phone <br />Tenant <br />Mall Address City <br />Stateop <br />Phone <br />��,n�6,k ElecAi;c, 6203 2601-5T 5TAW"20 <br />0�{� 1°1tb2�Z %6-30ti5-1S`I <br />Electrical Contractor <br />Mall Address citySlater7Jp <br />Phone <br />5'{i\' t` 'C <br />is I��m — <br />State License Number <br />Contract Price of Work <br />Proposed Use of Building <br />Contact Person (Plan Review) <br />Description of Work to Be Done: <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 />read and examined this <br />iow the same to be true and <br />work will be, completed <br />esume to give authority to <br />ing construction or the <br />lls roperly to perform the <br />actors Law 18.27 RCW and <br />FEE <br />