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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.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />T1-F <br />S15 �5 <br />PROJECT ADDRESS <br />Owner Me#Address City State/Zip Phone <br />Tenant Mail Address City <br />Stale/Zip Phone <br />I"Rt=F(Ze'y7 C—icCTRIG j'� 7�IZt� �ealQ Qjl�i <br />Electrical Contractor Mail Address City Staleop Phone <br />*A,'Z rV <br />Slate License Number Contract Price of Work <br />L.r' E W aL� k-Djtit <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: <br />QeD 0 1fy\ , <br />LTG, 14 0LcrL_E7-_S r-o2 0,-t.a-t,t7'Y Apr-TQa <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 ,,, that 1 have read and examined noVpmPnla his Wne of work w <br />e to be true and <br />completed <br />/e authority to <br />lion or the <br />FEE — — <br />E 12-05- DZ'_?" <br />