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ELECTRICAL PERMIT APPLICATION <br />CITY OF E�/ERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8850 - FAX425-257-8857–www,everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />_ -=�i(> � VVI l�Cl i'� �U � — <br />PROJECT ADDRESS <br />Tenant <br />..."...._".`�� ���Y swteiziP Phone <br />Mail Address <br />City <br />� > � �_ ��(1 f�' � Z�Z !/� � S�c 1'lc <br />Electncal Contractor Mail Address ��y <br />Vl'� � � (� Y-�l- ( �-� <br />State License 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 R,4CEWAYS, MC OR AC CABLE. <br />:�� <br />�SALES TAX COUE IS 3105 <br />ad�and examined this anolic <br />a <br />5tate/Zip <br />State2ip <br />Phone <br />Phone <br />iz �n �� <br />C�r.ract Price of Work <br />�0 A� ��i� ��S � � S`�L <br />Contact Person (Plan Review) 3 Ft Z Z <br />� <br />d know the same to be true and <br />= o( work will be completed <br />�t presume to give authonty to <br />vlating constroction or the <br />of this property to peAorm the <br />mtractors LaK� 18.27 RCW and <br />_��_a� <br />te <br />� 05O! - D8� <br />FEE <br />