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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 everettvla org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />Itl1b Ail) <br />PROJECT ADDRESS <br />511 pANg-e j'j jk- u t yf,;; 2 Nt •11(k, Tep }He ,'b j liyl <br />Owner flail Address City Slate/Zip Phone <br />Tenant Mall Address City State4lp Phone <br />E'lectrieal Contractor Mall Address <br />Lv E °I5 7 QC1 <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done. - ' <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 />City <br />y certify that I have road and examined this application and know the <br />All provisions or laws and ordinances governing fins twe of work w <br />r specified herein or not. The granting of a permit it-, ^c not presume <br />or cancel the provisions of any other, state or local lao regulating con <br />application <br />l-!JleVtc'A 7w--7eT-I1NN <br />Slate/Zip Phone <br />150. 0a <br />Contr ct Price of Work <br />On Toaj2 <br />Contact Person (Plan Review) <br />I F� 11 <br />? to be tole and <br />completed <br />re authority to <br />'ion or the <br />o perform the <br />8 27 ACW and <br />Z66 <br />FEE <br />