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�pr 14 �6 03:02p travis bradford 360 657 1106 p.2 <br />ELECTRICAL PERMIT APPLICATION <br />CfTY OF EVERETT PERMIT S�RVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www•everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />`�LII� �ONO�IA^� Wk^�� <br />PROJECT ADDRESS <br />i+- <br />Owner <br />Tenant <br />C'( ��/an i N C..2S <br />Mail Address <br />Mafl Atldie.;s <br />� Jvi�� r�;; p <br />c�ry <br />Cily <br />�� � <br />�f—ik--od <br />�06o y i0� <br />�2� 3�+t� o�io� <br />Slate2lp Phone <br />Slate2ip <br />Phone <br />Uc.T� � l,cc�2� �L�O2� SMo,�.� P� �W�n E�M�� 'L�i� /�(u.�c.Na �,.iJ� �i��-z3 <br />Electrical ConVactor Mail Addross Gry s�aie2ip �j (o� f�.�,� <br />UUc�, C�- ��� �� <br />State License Number <br />�� � O l�I� ``~ <br />Propused Use of Buildinc7 <br />Descriplion of Work to Be Done: �SC�'w 5��"� <<'` �a S�""� <br />NOT[: �NIRING 1�! NON-DW[LLINGS IS R[QUIRED TO <br />B[ IN RACEWAYS, MC OR AC CABLE. <br />CITY OF GVERETT LOCAL SAL[S TAX CODG IS 3705 <br />or <br />1 r��ve rcad and examined Uris application and know fhe <br />., _.,� �nu�� �nd nrnmancus aoveminn this type of �vork w. <br />�'Z �+w — <br />Cuntracl Price o( Wurk <br />Contacl Person (Plan Rr.view) <br />FEE <br />e to be (rue and <br />cortipleteJ <br />ve a�rthon(y to <br />2ion or the <br />�o perlonn !bo <br />I B27 RCW and <br />