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� <br />� <br />ELECTRICAL PERMIT APPLICATiON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-6810 - FAX 425-257-8857 - www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />f,5 S�n% � ve�e r t��^,•" 11 w��D <br />PROJECT ADDRESS <br />c:I'JOf15 UQ✓' <br />Owner <br />Address <br />i <br />City <br />/d _ � 3 -I! <br />C 7 NO �-O (�(o <br />StatelZip Phone <br />������/�C'/' �iJvy»irin��L�rt/�il-S <br />Tenanl Mal�Address City State2ip .�9� <br />C�7 <br />/��,s ��eC�/'Ie, �� �i>'e l�f/Z !%r�/S��/�Y ��% %��% %/- <br />Electrical Cont2dor Mail Addres:: Cdy StatelLp Ptwne <br />d�S�LC�rjE OLZ61 Z A,7 '230. Otl <br />Sta[e License Number Conhact Price of Work <br />� t l�cf r� .�cC R(� .�% r'i s f-/?J <br />Proposed Use of Buiiding Contad Person (Plan Review) <br />Description of Work to Be Done: <br />✓1 �W� <i!!'!N J <br />� I c:N7a:v. / �M fJr•JVC'MCrs % �% <br />C f' <br />. <br />11 <br />�/o .�r N. <br />t'� ( 4 i'r S l/ ,f7�Cf �����. v _ <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. � <br />ZZ3 . �l � <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Ihaveread <br />ow the same fo be t�ue and <br />,vork will be completed <br />�sume to givn auth�uity to <br />ng r,ensfrvctron w fhc <br />is Property to perlam the <br />ict�rs Law 18.27 RCW and <br />/U'-/�,� `�� <br />� I I � J D� � <br />