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ELECTRICAL RERMIT AP�LICATION <br />CITY OF EVERETT PERMIT SER''/ICES <br />• 3200 CEDAR STREE7, EVERETT, WA 98201 <br />425257-88'10 - FAX425-257-8857—www.everettv;�a.org <br />APPUCATIONS ARE PCC[P7E0 FROM 8 AM TO 4 PM <br />2�� l T,5'2oF�pv1A� S'iZrL$..1, <br />PROJEC(' ADURESS <br />Qvmar <br />Tenont <br />Mail Addroac <br />\ <br />LdA Wt��C.+ <br />�Y <br />Mpil Atldress <br />���7'UZ.?i0 <br />0 <br />Ciry <br />ElecWcal contraetor Mall Addrt7s � <br />VV�.I^—� IrGi'r . I� LY 1Nt <br />Stale Licenso Nurnber <br />Proposcd llae of Building <br />oescription of Wo;k tO Be Donc: ZOo i� `,w.��, ��3,J �G <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BC IN RACEWAYS, MC OR AC CABL6. <br />Cl1Y OF tIIERETT LocAl. SALLS 7NC CODG IS 37a5 <br />I hem.by a:Riry (hot / havc rnad nnd cx�mined this applieafion end <br />cortott. All pmNsloOS o! Isws and orclinsnces govam/ng fAis typg <br />whr.fhers�oci�edhrminnrnnr 7h.,..o„u..,...i�..,....,n.�,.,.....,.. <br />, <br />E00/200'd <br />S(XNd) <br />�z/ a7 /�� <br />10 <br />SLMe17Jp <br />" ".��Q.''� <br />Conlr�ct Price ol Wark <br />Contad Person (Plan Roview) <br />2b` <br />�'�So <br />Ptanc <br />Phone <br />50 <br />55 - �1 <br />Phone <br />FEE <br />_3� o�.� <br />�snd <br />�to <br />n� <br />�nd � <br />/ � � . / Lt <br />, <br />]I81]3l3 1183W ?E 91 (hOW)0102-l2-]30 <br />