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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, VVA 98201 <br />425-257 8810 - FAX 425-257-8857 - www.everettwa.orq <br />i <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />a(! SF CVPJ'C �1 a�/1L 11 W2, ttA <br />PROJECT ADDRESS <br />Owner <br />Mail Address <br />City <br />stateop <br />I <br />� <br />ka_5.3Y7-Phone <br />3U <br />?3EqCcI1Y <br />Tenant <br />Mail Address I <br />City <br />Slalel7_rp Phono <br />�� �nz <br />lShP�ix f /05 <br />/I <br />rxa�hk <br />WA 7WV 953-30q-55c�5 <br />NISI r LLC a13� <br />Electrical Contractor <br />Mail Address <br />City i <br />Stalamp Phone <br />ME T Ro,4-L g0101� <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done; <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERErf LOCAL SALES TAX CODE IS 310S <br />N-4 <br />#1 a-.�(ao <br />Contract Price of Work <br />=�L <br />Contact Person (Plan Review) <br />U/4 <br />) to be true and <br />comptsted <br />re authority to <br />hen or the <br />o perform the <br />8.27 RCW and <br />FEE <br />C.) <br />2/I:ar;I'd 1S88LS2S2bt:01 GL96ST92ee dN,:wojd CSr80 ff02-20-9nd <br />