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05/19/20:2 FRI 6:03 FAX 425 988 6501 Sea -Copy <br />zo 02/002 <br />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 />PROJECT ADDRESS <br />t�tlnS 13�!'tk' <br />i�)� (�)ht71'�n <br />l rt"Ci1 <br />(ATI 4�70I X4, <br />Owner <br />Mae Address <br />City <br />Sletamp Phone <br />Tenant <br />Mail Address <br />COY <br />state" Ptwne <br />i111ic�[J : i7C { VIQu�{ <br />v)0`al L.vulli._ (Za <br />hLN)ICn <br />V) `1`6O�'4(I Jj)C,V�•G.'i <br />Electrical contractor <br />Mee Address <br />CRY <br />state/Zip Phone <br />'i?.34 <br />Slate License Number <br />Contract Price of Work <br />Lpo .trgyl k—ck <br />Proposed Use of Building <br />Contact Person (Plan Review) <br />Square Footage (If residential new construction, remodel or addition) <br />Description of Work to Be Done: Y! �V I L 1 4� I f s )1 E' I I 1 L1w <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 />LN <br />FEE <br />OU05_0g8 <br />0 <br />