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Nov OS 10 10:52p AI Thom <br />—�I �1 <br />1 <br />.�� � <br />360-568$400 p.3 <br />EL_E1.; i i�ICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SEI2VICES <br />3200 CEDAR STREET, EVERETT, �NA 98201 �(_ �`�� <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICA710NS ARE ACCEPTED FROM 8 AM TO 4 PM <br />/�. rJC-�� ('�'E ,.J W./rl <br />ADDRESS <br />Mail �dd`ess <br />/l3 �'u%',.�;�c<-=�; c��1 <br />Mail Address <br />��o�l-vyl <br />,.� r.vla-�/ �/ ic/l�- `�Y2� <br />��ty SlatclZip <br />�'✓ v✓/-I `fi`e 2u4 �f2S � <br />City State2ip <br />�z� 92S r�%�f <br />Phonc <br />Phone <br />/�E�i�v rr.c2 � e� c= !�u Pca� � 3q-q- s;.,�v,k�� � s�,� r v�+- 9f�:�i i Qz s= 3 � c- � �2 � <br />Eleclrical Conlractor tdnil Addross City SIa1e/Zip Phone <br />VLIE'i ('-u � i_�/(%f � o i� <br />Stale License Number <br />� 1�}IL <br />Proposed Use of Builtling <br />4Y�- �,� <br />Contract Price o( Work <br />ContaU Person (Plan Review) <br />Description of Work to 8e Done: C/(� /�'�NC. %�--�7i2[�j=i'% l"� v� <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 />FEE <br />