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ELECT'RICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SCRVICES <br />3200 CEDAR STr2EGT, EVERETT, WA 98201 <br />425-257-8810 - FAX 425•257-8857 — www•everettwa.or9 <br />APPLICATIONS ARE ACCEPT�D FROM 8 AM TO 4 PM <br />1 D1�I i'A1 ���c�QC���i <br />PROJECT ADDRE83 <br />�o� rvtan AddreB6 <br />City SIBIa/Lp Phane <br />Tenant Matl Addmae <br />;r� �.�n�or,s� "� � <br />Eledricnl ContradOr � ��� A��°� <br />C�(�R.VT��a91 C5 — <br />State License Numbur <br />pnpppsed Use oi Building -- <br />y o 0� Q p o o�- <br />Square Footn9e (If teaidentlaf new ns ction, remodel or ad0itlon) <br />C�ry <br />ciry <br />su�er�p <br />StatelDp <br />PI �o <br />l 3bo�i <br />� �'� °° <br />ConUact Price of Work <br />�c .� <br />Conlect Person (Plnn Reviewj <br />pescdpllon of Watk to tie Done: <br />'t f Q �� t 1 l7 � C OOfY� <br />G �a.'�!c ��_ <br />NOTE: BERIN �C WAYS MC OR ACICAB EUIRED TO <br />CITY OF EVER[1T LOCAL SALtB TAX %��E IS 3105 <br />I trerebv cortily timf 1 havo read <br />cotmd �/Ipmvislonsoflowsa <br />whe;hcr spocrfied horoln a not. <br />ylMp� a ur concol thn proNnlons <br />_.. ..».�.,�o�r�nnx!mtlion. T. <br />to <br />FEE <br />��• [)Cj <br />Phone <br />end � <br />�o C' ' � <br />�-� c G� _ �� <br />and <br />