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t <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.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 I'M <br />PROJECT ADDRESS <br />Owner <br />Mail ddmss <br />City <br />State/Zip <br />Phone <br />Tenant <br />Mall Address <br />city <br />State/Zip <br />Phone <br />!{Z S <br />Pao 1T2t� <br />.2o2 log-t"T SE <br />L-Oef-pq <br />t,s 21�P" <br />81a sM6 <br />Electrical Contractor <br />Mall Address <br />City <br />State/Zip <br />Phone <br />P2� r_ LL � <br />98'7(3� <br />O-613 <br />State License Number <br />Contract Price of Work <br />_ <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: to C <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 1 have read and examined this application and <br />9 to be true and <br />completed <br />re authority to <br />lion or the <br />o pedorm the <br />8.27 RCW end <br />//— 7—a <br />FEE <br />L 5 CIO <br />rv5ri-Gau <br />