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ELEC�'RICAL PERMIT A.PPLICATIO�d <br />CITY OF EVER�TT PERMIT SERVICES <br />3200 CEDAR STREET, EVC-RETT, WA 9fl201 <br />425-25%-8810 - FAX Q25-257-£i857 — www.everetlwa.orc� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />%� U � ��er Pee C.J� � '� � �j eY �l� � �G l <br />PROJECT ADDR SS <br />Owner <br />�� <br />Tenanl <br />Ma�i Address <br />�dail <br />Cily <br />City <br />Statc2ip <br />SWtc/Zip <br />Phonc <br />a3s <br />Phane <br />Mz�-rn ��F�ri� � �� ISFh�ve� ��05 �.����f �.J/} `J'81�� �53-3oy-SSo.S <br />Elecineal Contractor M11all Address City Scale(Lip Pnonc <br />/VIET�OC—r_9�6f C�� <br />Sta[e License Number <br />J�PSI�a j'tnzt.. �` <br />Proposed Use of �uilding <br />Dc^,criplion of Wark to Be Donc: � <br />a ki ,`c � C 1'� \ nnn� <br />� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIREt` TO <br />BE IN RACEWAYS, MC OR AC CABLE, <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />r.erti(y Ihat I�78ve �ead 2nd amincd Ihis <br />All provisiops n/ laws ar,d p rnances go� <br />snecificd hCrein or not T,A. granting ul a <br />, <br />�� <br />� �l7qo�a <br />Con�rad Price of Work <br />�y�.. !,�,,� � S <br />Contac[ Person (Plan Revicw) <br />' know fhe same to be true and <br />ol v�ork will 6e. completed <br />� presume (o groe authonty fo <br />�lafing constn/c(lon or the <br />7- <br />EE <br />5�• �`� <br />/ <br />j�o�. - /S� <br />�:��_=,���_ ,-�,- <br />�+,j;.-,r,�:�d LS��LScS�'hT�ol _ ��o�� dY�ll:a�o.�� 6Gt:BfJ it0� hl <br />