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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERET i, WA 98201 <br />425-257-8810 - FAX 425-257-8357 - www.everettwat.org <br />APPLICAT IONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />s.r s up le <br />PROJECT ADDRESS <br />l c Xacle 4)z By C <br />Owner Mall Address city State/Zip Phone <br />Tenant Mall Address City State2lp Phone <br />Poryei 6cnrrc Powereeelecwc jP$I)L..com-It//v/BwA '79-0&0,�51 <br />Electrical Contractor Mail Address City <br />Qoteetee 9`Ii A5 <br />Slnte Lik•3nse Number <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 310rr <br />I hereby certify that 1 have read and examined this apolio <br />or <br />StateZp Phone <br />Contract Price of Work <br />eOr 6LIeJ 36o ,5%-Z19Z <br />Co act Person (Plan Review) <br />s to be true and <br />completed <br />to authority to <br />ffon or the <br />'�A <br />FEE <br />