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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 C-� 1 -�'o'1 -006 <br />f# <br />PROJECT ADDRESS <br />5t Ce,+-r LL C . f50I N 2onti Sr jl.'ir C `j °. I - -I <br />Owner Mail Address City State/Zip Phone <br />I E: CT ) '-) S+t S. S' ia4 fora +1 u! A — <br />Tenant MallAddrees City State/Zip Phone <br />War 7 t T 15"t 1 Nc- r`Ivt-r. it P- are-'> t lrA 1 Ku : -7 �fz7> -I <br />Electrical Contractor Mail Address city State/Zip Phone <br />Stale License Number <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Description of Work to Be Done: . L 50 tc"s k t ' ' <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 application and know the <br />,we and nrdinnnces oovemino this typo of work w <br />Contract Price of Work <br />Contact Person (Plan Review) <br />s to be true and <br />completed <br />m authority to <br />lion or the <br />o perform the <br />8.27 RCW and <br />FEE <br />5-00� <br />�130z- 015- <br />