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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 - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />yz) Y4, S 1, C S: tom, A4 <br />PROJECT ADDRESS / <br />Ze <br />Owner Mall Address <br />163 dele(, j4- f <br />City State/Zip Phone <br />Al4 A 4_-� "� -a-' " y'k_ <br />Tenant Mall Address City Slate2ip Phone <br />Electrical Contractor Mall Address City <br />4S5GC Ec'0 8,?yiC <br />State License Number <br />Proposed Use of B Iding <br />Description of Work to Be Done: /- <br />0 <br />S <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 certify that I have read and examined this application and know the <br />correct. All provisions of laws and ordinances governing this type of work w <br />is <br />C.� <br />State0p <br />-�')o 3 20 - <br />Contra6 Price of Work <br />Contact Person (Plan Review) <br />CD <br />to be true and <br />:impleted <br />1 authority to <br />ai mv, regufaring construction or the <br />io owner of this property to perform the <br />i State Contractors Law 18.27 RCW and <br />0, sV2s /0 S~ <br />FEE <br />Phone <br />