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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.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />CSUy )3rh( .S4 SC-- FL..Qro-4k 9 gZ6-? <br />PROJECT ADDRESS <br />Ur.'s A e,,, t2 <br />SA KIT <br />A,-- A-90- J <br />Owner <br />Mall Address <br />City S p Phone <br />Tenant <br />Mail Address <br />Cdty Statemp Phone <br />IJnrLTI-f IZz7� �t c <br />Cal cTzxL-. <br />�/�O Do-r <br />Cv <br />Ina Iforwenom / XV/ <br />Electrical Contractor <br />Mail Add s <br />city Slateop Phone <br />4T��trf777 <br />qr <br />State License Number <br />Contract Price of Work <br />t2xi,W-*tcce <br />Proposed Use of Building <br />Contact Person (Plan Review) <br />Description of Work to Be Done: <br />C lfe, �aJ.•«' <br />nn <br />ICE/J <br />�t �—C H-.t-4" <br />NOTE. WIRING IN NCN-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 certify that I have reed an <br />correct. A9 provisions of laws and <br />whether specified herein or not. T <br />violate or cancel the provisions of <br />work orawhich applicationt fos. ad t <br />296.200 WAC. <br />this application and know the <br />governing this type of work wl <br />to be true and <br />ompleted <br />t authority to <br />and <br />3� oS <br />EGSo 3-os� <br />FEE <br />