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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.everettwa.ory <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />( '�? `z, ( fr'f r <br />PROJECT ADDRESS p <br />�c s u%K Co �vt<LLL 3 <br />Owner Mail Address <br />JF%w/ Ellel-e — UTA ? sza/ 'iZs�Ll2-2216 <br />City Statetzip Phone <br />Tenant <br />Mall Address <br />City <br />Phone <br />�ft�r�rtr((I <br />�,J-Atrej <br />r%ojc t,." <br />e' <br />A%5OP'p1Tr.rce <br />eState/Zip <br />W* 9CZ;P-Z <br />` <br />lizJ 'J'i9��QJr� <br />Electrical Contractor Mall Address Cily Slate/ZIP Phone <br />rxcr�'PEr- ySco <br />Slate License Number Contract Price of Work <br />Propo ed Use of Building Contact Person (Plan Review) <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 7105 <br />1 hereby certify that 1 have road and examined this applies <br />...r(' �r.sy e,r /erS'rev n'rC <br />and know the same to be true and <br />l no(p ree umeito give authority to <br />regulating construction or the <br />or of this roperly to perform the <br />Confmcfors Law 18,27 RCW and <br />?�z y/ 9 <br />FEE <br />q <br />Oq ,q I <br />