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( <br />EL�CTRICAL P�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />1510 5� Fuere�i� 1�I c+�� ��ay 5����e C' <br />PROJECT ADDRESS <br />LLC <br />Owner <br />N� ttv�c .S�iC ��' ��je� <br />Mail Address Ci�y <br />q --09� �� <br />C I io9�-o�7 <br />� i � <br />State2ip Phone <br />�L'(�'Pc-� �1i �� IS�v� ��,cf{}aul� uxiy �Verefi' �l/fl• 9�lZa� <br />Tenant Mail Address Cily S�atelZip Phone <br />, .. _ _ _ YZs <br />Electrical <br />ieC�inti i�b. <br />Mail Address <br />CFMNE FM 1S3 f�T <br />Stale License Number <br />������1 bP�'; c� <br />Proposed Use of Building <br />Descriplion of Work to 6e Done: <br />City <br />�u'� <br />SlatelZip <br />� �00 . D(� <br />Contract Prica of Work <br />�e.rernu �o�.�le� <br />Contact Person (Plan Review) <br />3 i�1er N�bS�ci+S <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 3106 <br />read and examined this <br />/ �/Ci��{ �. <br />know fhe same fo be true and <br />of work will be completed <br />Presume fo give authonfy to <br />ting construcfion or fhe <br />f this propeRy fo perform the <br />ifrac(ors Law 18.27 RCW and <br />;/-/Z <br />Phone <br />FEE � <br />G��O� - �i' <br />