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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.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />2Z3 gZxW <br />PROJECT ADDRESS <br />Ar 3c-a (.,•-tte /J?DO rgGi pur:Alw 4t,4-303 fe4t0e a 9W1 - 206 -P/f- 6XZ7 <br />Owner Mall Address <br />City <br />Stale2lp <br />Phone <br />Tenant Mall Address City State/Zip Phone <br />6xcerlie.,j F���etf. %caf'14�. �9t'rbLa..Fa� /15E#j1S 4wrre [4 V0Z •I25 'jIP— '7957 <br />Electrical Contractor Mall Address City SlatetZip Phone <br />j5-^6� v z-9iJd6 415,0151 <br />State License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />(c ,�IEfE ele4�-ricer/ �Zo <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 />1 hereby certify that I have read and examined this application and <br />correct. All provisions of laws and ordinances goveming this type <br />whether specified herein or not. The Granting of a perch It does not <br />'7 <br />i. &A.( rri.-t oT 12a)�c`r.rcE <br />to be frue and <br />ompleted <br />i authority to <br />FEE <br />F_- 0Qo4-0-7;4 <br />