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� <br />p <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES ��u� �i <br />3200 CEDAR STREET, EVERETT, WA 98201 ��l �j7 .r/Z7i <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />%(vDD EVERGKECN w�`I <br />PROJECT ADDRESS <br />Owner <br />Tenanl <br />Eleclnral Conlractor <br />Mail Address <br />NIC. '7�f0 I <br />Mail Address <br />' �p-�QICN <br />Mail Address <br />C�S �F�►�StiiS _ <br />Slale License Number <br />Proposed Use of Building <br />City <br />Cily <br />Stale2lp <br />State/Zip <br />Phone <br />Phone <br />���y Stale2ip Phone <br />�29� coa `IZS l��o Co� <br />� <br />Contrecl Price of Work <br />ED MoD yzs ��C33o <br />Contacl Person (Plan Review) <br />Description of Work to Be Done: ` ���NT (%CKZIK� CU� l� Tf� N ECC-"CT�r c <br />` ETE�T/On/ S� P2eCt'HS�n/C7 Or '�yF CCC/%N f�('�E�lT � s'P�'/N/CCF.Z <br />r 1 <br />SYS ; E�-+ , , <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 <br />roao and examined fhis <br />�ws and ordinances gov� <br />rnoL Thearantingo(a <br />and know fhe <br />vve ol work w <br />fo be frue and <br />�mplefed <br />r aufhonty to <br />m orfhe <br />oer(orm the <br />� %I�.G<.� -�•zZ� �.0�1 <br />E I I a`�--17_2 <br />