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12/18/2@12 13:08 1425775196� ACTIVE ENGINEERIIJG PAGE �1/O1 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425�257-8810 - FAX42S257-8857—www.everottwa.org <br />APPLICA710NS ARE ACCEPTED FROM 8 AM 70 4 PM ,����� �/3' <br />�= i2✓a -io�, <br />5� o`I <br />�--� D,. �.�r 5-fi <br />PROJECT AOURE33 <br />S/ey <br />Tom Cu�d �#tr'� On�Er 5-h' �v�r�it 1.J(a 98�r,3 yZK•34k�; <br />Ov.T�e� Mail Address Ciy Stat221p PMn¢ <br />Tenont <br />Mail Addtass <br />Mnll Addra6s <br />f� c,a-:�t � b� m s <br />State Licensa Number <br />Proposed Use of Bullding <br />Squara Pootage pf reatdential new constructlan, remodel or additfon) <br />CAy SI�te21p Phone <br />�„,,0.a�1 l�A 5 knz(, �lzs ��G•bli' <br />City State2lp Phana <br />200• c� <br />Contrnct Pria of Work <br />Gontad PerSon (Plan Review) <br />DesaiptlonofWorkloBaoone: �i�co��.�.} 111�r.n.,ti �� n-F -�i.r�nnn�. <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS. MC OR AC CABLE . <br />CI7Y OF EVEREIT LOCAL SALES TAX CODE 19 �105 <br />1 horoby corti(y fhaf 1 hove road nnd examined fhis annfic <br />nnd Ivrow the samo la 6o truo and <br />ypo of work wlll be comploted <br />not presurrra ta give eutAoriry to <br />a�o! Ni�s P�Po� t�o pe��� !he <br />Contrnaor� Law 78.27 RCW antl <br />FEE <br />SU• w <br />