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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 />lv3ra Cip+'Ni c6A. <br />PROJECT ADDRESS <br />Owner <br />Mall Address <br />City <br />Tenant Mall Address ' City <br />Electrical Contractor Mall Address City <br />eyQy05G a p'K► -' <br />State Lic^en^ , u—m'berr <br />Proposed Use of Building <br />Description of Work to Be Done. <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 hereby certify that I have read and examined this <br />correct. All orovisions of laws and ordinances gov <br />:J� <br />� q�sa5�r <br />State/Zip Phone <br />State/Zip Phone <br />State/Zip Phone <br />I nLA 00 <br />Contract Price <br />of Work <br />i� <br />Contact Person (Plan Review) <br />to be true and <br />ompleted <br />r authonfv to <br />and <br />FEE <br />ill I: I0 <br />0 —o0'Y- <br />