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ELE�TRICAL PERMIT �4PPLI�ATION <br />CITY OF EVE�ETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />47_5-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICA710NS ARE ACCEPTED FROM 8 AM TO 4 PM <br />r� c�"7 Ev' E�'��� ��(,� cN � SF ; Sut i� K��tErt-� iT ��, A <br />PROJECT ADDRESS <br />�N`ta�-ts���otir�� i�kr�-�' i'� �`V�l�r w� <br />Owner <br />Mail Address <br />Ciry <br />Slate/Zip <br />Phone <br />��/�t�./��'L�. � �-'(1 <br />Tenant Mail Address City Stale/Zip Phone <br />Nj, �. E��EG. c�Nl. laj�3) I�� ���Q �$'E KG�1T t,'�A �c�3 ��3 �13. �E3 <br />Eleclrical ConlfaClor Mail Address City Slale/Zip Phone <br />MDLtND�D�SD�i iUGY�— <br />Slale License Number Conlract Price o( Work <br />.� <br />c-;2 ec �2.c.e� �' ��4'���y�_ <br />Proposed Use of Building Contact Person (Plan Review) <br />Descriplion of Work lo Be Done: � ��S � ��U1'� —,j ��"4' ,�'��, �J g V� i��� <br />���7 �� J �- ��� : � �S � �- s�,� . ._I'��- �. s� ��� <<� ��� <br />� <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 />read and examined this aoolicafion and <br />or <br />fhe <br />� i p � Mc �t c�,�C �l R- <br />.-� %t_ /1�,.f,L„-;r <br />law <br />s to be true and <br />completed <br />ie authority to <br />fion or the <br />o perlomi the <br />8.27 RCW and <br />5-21- ��'a <br />)ate <br />�G'Co C.'� —( 5G <br />FEE <br />�r <br />