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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 PM <br />PROJECT ADDRESS <br />0, 4e, G h J A" 7 )'/ ` S+w'it Sit/ (i✓ 14 if 1 Z0S <br />Owner Mall Address Clly State/Zip Phone <br />4�s-�tia-�lj,V <br />Tenant <br />Mail Address <br />City <br />State/Zip <br />Phone <br />Electrical Contractor Mail Address City State/Zip Phonc <br />Slate License Number <br />Proposed Use of Building <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: 0141. Wi ItT 1-5 TL1 Ify ov 4WT y- /4/ <br />T V461 ka. L A o be l +( L NJ LA /Jr. d" <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 heroby certify that I have read <br />correct. All provisions of laws a <br />whether specified herein or not. <br />violate or cancel the provisions <br />worrk or lch application Is ma <br />296.200 WAC. <br />flits application and know the <br />aovemina this ivoe of work w <br />77�7� <br />e to be true and <br />completed <br />ve authority to <br />lion or the <br />o perform the <br />8.27 RCW and <br />FEE <br />5 <br />�aoo`1 - I e 4 <br />