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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STRE[T, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />`1fF( Sarn��srE�cea.�.�'r1�u,YY,�� <br />PROJECT ADDRESS <br />3 - a- ro <br />[_� iOd 3� <br />°IW B�5INESS CEN7F� U.�. �2.a�WesT���. Av� N S'f� S�`� SEA'fT(.E,wa. 9gb�t <br />Owner MailAddress City Slate/Zip Phone <br />S��e,c»� °IW �cu?N6FsT EY�+`��l,e►.�..wil�f EVc�bTi , `n'A. �I S �8 <br />Tenant Mail Address Cily State/Zip Phone <br />1�A`c�► NcQ-c�w�-r- —7�-r sc�� 9tv� s� �, YrA. 9s�o3 ?�tdo2a3►�' <br />ElectricalConlractor MailAddress City State2ip Phore <br />1�F�i�u zq� t�`z 7/>/io <br />State License Number <br />Proposed Use of Building <br />:i i.,,/j i . ,. <br />;. •..;.,.,:: � i <br />-. . <br />Contact Person (Plan Review) <br />Description of Work to Be Done: <br />REj�I,AGN� EXIS�"�Nln �� IOCAR�." s��N �ac-E `� iit� <br />NGW " SU�ED��" F,oc.�. <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 />ceAify that 1 havo read <br />All provisions of laws a <br />this applicafion and know Ihe <br />goveming fhis type of wod: w <br />�f a permd does not presume <br />3-J <br />FEE <br />fo 6e true and <br />�mpleted <br />r authontv to <br />he �and � J <br />//7 . <br />, / <br />✓ <br />