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• 0 <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 - wH fi everettwa.Drg <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 11Z --06 Jo <br />C-fo/z 03f� <br />) 5 P5 ?5" 9 - S� <br />PROJECT ADDRESS <br />C ernCA.S+ I525 � Si Swi ao6 f,'�e eH- lW %'M3 �1n�ilam+ o <br />Owner Mail Address City Stale/Zip Phone <br />Ct'. D At Sc� rti.2 <br />Tenant Man Address City State/Zip Phone <br />Electrical Contractor Man Address <br />A a-rBi3 <br />State License Number <br />Proposed Use of Budding <br />City ' State/Zip Phone <br />$ D 555. o o <br />Contract Price of Work <br />'ja.So,n ►rY) nlf.'s. <br />Contact Person (Plan Review) <br />Description of Work to Be Done l� (.11Jl `4 J ty1 i�� �'1$ j ri/L MA_ � 1 ) <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 />I hereby certify that 1 have read and examined this <br />correct All provisions of laws and ordinances gov <br />whether specified herein or not. The granting of a <br />or <br />IS <br />low the <br />work w <br />;a -j - <br />FEE <br />a to he true and <br />completed I of 2 _ o815 <br />ve authority to <br />lion or the <br />