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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.evereltwa.o:g <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />bL-LIEJ2) L✓= c01JS1 /NIL .2O(D 9)?- 7y/S <br />Owner Mall Address City Stateop Phone <br />Tenant <br />Mail Address <br />City <br />State/Zip <br />Phone <br />McGi/V77 ,Ecf(, xi(., — <br />Electrical Contractor Mall Address City Stateop Phone <br />�tfC6jAjCCIS03AJy <br />Slate License Number <br />R/:J NLI.CjI.LX <br />Proposed Use of Building <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: W i4liz /'JL- to /C.L: h. 'L�J_= PLEX <br />_ /25 Ax4j) LOnD L?AjJ2:5zS <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 <br />e to be true and <br />completed <br />to authority to <br />(ion or the <br />o peAorm fhe <br />8.27 RCW and <br />296.2�i0/�O�WAC. <br />F—4t9nature <br />�ate ' <br />V rVl_� <br />FEE <br />