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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.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />Owner - Mail Address City Stalo/zip Plmnr <br />Tenant Mall Addrass City State/Zip Phone <br />J <br />A l � 3uo <br />!1'U EIr'L1 io- (�,J' uJ �-4n�lao.m.ah LJA 5&0 6&9-A <br />Electrical Contractor Mall Address City Stale/ZIP Phone <br />late License Number Con race Price o1 Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Dona: <br />N:)TE: 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 />rend and examined this application and <br />s to be fnre and <br />completed <br />re authority to <br />flon or the <br />0 perform the <br />8.27 RCW and <br />FEE <br />