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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 — wnvw.everettwa.org �ag� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C 1 / 6(4' —1 6v <br />gaigo� p� sE <br />PROJECT ADDRESS <br />l @1 � P► <br />wA ggQtig 42S.S12r <br />Phone <br />Owner Mad Address C'lY Statelzip <br />City state/zip Phone <br />Tenant Mail Address }' <br />va9 4Ytt3�l '�t3 2 <br />A6You L0;51+Ekc. G 8Z5 S SFucu51 Stwtfto e <br />Electrical Contractor Mad Address C'lY <br />State/Zip Phone <br />,4sYouYWq� Ntr1 boo <br />Contract Price of work <br />StateLicense <br />_Number <br />514LCG ,1 .x Y-4S1'jzo .Q. <br />Contact Person (Plan Review) <br />Propo d use of Bull9 <br />Description of Work to Be Done: v•r wA k <br />NOTE: WIRING <br />REQUIRED TO <br />RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br />read and examined this application. and <br />FEE <br />e to be true and ►.�` 1 Vq _ 10 <br />v <br />completed <br />ve authority to <br />•flan or the <br />to perform the <br />18.27 RCW and <br />