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�LECTRICAL PERMIT APPLIC�4TION <br />CITY OF EVERETT PERMIT SERVICES . <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.r.rg <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�, n e iA? Ev��� H A��. W� Y _ <br />PROJECT ADDRESS <br />�2--i�--o7 <br />��07 �l �!5 y <br />MAKSN/g �LEcIRY /'� ��X /9S6 EDNON/)S lr� � �026 <br />Ownef Mail Address Ciry State/Zip Phone <br />ZO $ i„� Y�-S <br />�1GLSTgrE /A1SlrRA� �V�kF��' NAt..�uAV �.u£kE� l�'� • Z3 8- s 491 <br />Tenant Mail Address Qly StatelLip <Pho6ne <br />!��"S S�� 3 <br />u�a�n�Y�s�' (Yrvie�r_ B�sT ww�Al sr MdNRDE W� 9$Z�_z`►4—�3�� <br />ElecMcal Contractor Mail Address <br />GSH,�r�craosc 5 <br />Stale License Number <br />(� FF! GE <br />Proposed Use oF Building <br />City <br />Stale2lp <br />-�92 45�� <br />Contract Price of Work <br />�0� KUHOH�E� <br />Contact Person (Plan Review) <br />Description of Work to Be Done: �tis T�L �/ J T�s ��% <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />8E IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EV'cRETT LOCAL SPLES TAX CODE IS 3105 <br />rc�ad and examined this <br />comply <br />iow the same fo be tn�e and <br />work will be cornpleted <br />esume to give authority to <br />ing construction or the <br />iis property ta per/orm the <br />actors ( aw 1d.27 RCW and <br />07 <br />FEE <br />Phone <br />