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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 />PROLLJECT ADDRESS <br />�1c�Scg ssc lb 92od PT SIV byecreff M T45 �lu)353.33w <br />Owner Mall Address City State/Zip � Phone <br />Tenant Mall Address City State/ZIP Phone <br />Electrical Contractor Mail Address City State/Zip Phone <br />State License Number % <br />, 11NQ It1 ;4MI I� 1 I�SI �CV�iL <br />Pr6pos d Use of Building <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: I' Q-A t4 04e did"Caw Caw o d ✓ <br />i A kfLe Ile 11 . <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 reed and examined this application and know the <br />correct. All provisions of laws and ordinances governing this type of work w <br />whether specified herein or not. The arantina of a Permit does not presume <br />is made and <br />S <br />65� <br />to be true and <br />ompleted <br />i aufhonty to <br />and <br />FEE <br />7 <br />Io <br />