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ELECTRICAL P�RIVIIT APPLICA'TION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — vwvw everettwa org <br />. . � -a- 4��/D <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C�Q.,L� � I 36 <br />V/ <br />�f�� i i�,/c-r���� U�� V �`�-Z <br />PROJECTADDRESS <br />Tenanl <br />�GI ' <br />t <br />Mail Addmss <br />Mail Address <br />Ciry <br />City <br />2i-il �7�' Ztr�; <br />StatelLip Phone <br />Slatc2ip <br />Phone <br />f�IF�o'h��►�rz��, u� Po� F�x i3� s�,��su �� 9��4� 42� �r�z,z� <br />EIBC�fiC21 Conff2Clof Mail Addmss City Slale/Zip Phone <br />�vl �7r� �' � �Q� i o � <br />State License Number <br />, � I L �!-� P <br />Proposed Use of Building <br />Description of Work to Be Done: �� <br />ti C� ZET2C� t= <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 />I have read and examined this <br />a <br />`� S��-. s� <br />Contract Price of Work <br />Conlacl Person (Plan Review) <br />e to be (rue and <br />completed <br />ie authonry ro <br />lion orlhe <br />o pedorm the <br />8.27 RC W and <br />V . <br />FEE <br />/�°�-13� <br />