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ioio�izois ozwi r,�x <br />�P.J L �� �2OG - � 7 /`�� 7�/ � �v� / fI' <br />�PR/�ji� �� o�"- �'`��GS D <br />ELECTRICAL PERMIT APRL,ICAiION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />PROJECTADDRESS <br />�G L�C <br />owner <br />�v�ee�s-T C�, <br />Tenant <br />Gf� � <br />Electricel Contructar <br />APPLICATIONS ARE ACCEPTED FROM 8 ANi TO 4 PM <br />Meil Address <br />Mail Address <br />Meil Addrese <br />��ne,e�� c� 9a ��,� <br />State License Number <br />Proposad Use of Building <br />Deecription of Work to Be Done: <br />/ � � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALE3 TAX CODE IS 9106 <br />Clty <br />Clly <br />Ci1y <br />State2lp <br />Stete2ip <br />I�ooi <br />/a---/ s -/O <br />�/a�- 076 <br />Phone <br />Phone <br />?l� ,�Q/o-G7r�S, <br />S1BM/7Jp PhOne <br />,��o• o" <br />Contrad Price of Work <br />Contact Person (Plan Review) <br />� <br />U/U <br />FEE <br />c.� o►a- o� <br />� <br />