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--� e-q') <br />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.overettwa.org /0 - /7 _ ( Z <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 'ED210 .-I 161 <br />PROJECT ADDRESS <br />(dZS�22�w1I <br />1 1 c a) r C- free 4 ag2�3 <br />Owner <br />Mall Address city State/Zip Phone <br />- <br />a $l2 "20l <br />Mall Address City State/Zip Phone <br />Tenant LNbb—y�jQ,.�,ya I— <br />`-7SiL� Y, ivc+ UL vi l.. /rl�i Slate/Zip "LPhone <br />Electrical Contractor �all Address CRY <br />I�l C.UtY1 �17 �C � <br />State License Num er <br />Proposed Use of Buitding <br />Square Footage (If residential new oonatruclion, remodel or addition) <br />Description of Work to Be Done: or <br />Contract Price of Work <br />r;ontact Pert n (Plan Review) <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />I hereby certify that I have read and examined this application and know the some to 6e true and <br />mm rl all nrovisMre <br />ns of laws and ordinances goming this type of work will be c mnplh�end to l <br />and <br />