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ELECTRICAL PERMIT APPLI�4TION <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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />q0 q S• �, �✓�/lk�f r1qti� <br />PROJECT ADDF2ESS <br />StilfE yZo <br />9�aN—o� <br />C �O�i— � 9� <br />�/oo <br />Q09 Qw��E35 C�ff2 �cC 2alb l�� �u �• n/ F�fit�uc, c,�} 98Da � <br />Owner Mail Address City Slate/Zip Phone <br />n �_ �o X 90! 0 3/ F <br />Mail Address City <br />�4lsi✓YS���F .4��.�✓ <br />Electrical Conlractor Mail Address <br />�oSco 31�13 <br />State License Number <br />/L�T,�fc. <br />Proposed Use of Building <br />City <br />F <br />Slale/Zip <br />Slate/Zip <br />� 250, D 0 <br />Contract Price of Work <br />Phone <br />'L�Z-olbo <br />S�E►'E z�^�d�a��,✓ <br />Contact Person (Plan Review) <br />DescriplionofWorkloBeDone: i^�S��L On/� ,f/�L� �lj�E IL.LNh'lIN/r/QD N�A•(iC ,sl6jv� <br />rd,✓�FcT To Fx�sri�✓6 s�c�✓ C�2��.�7 ��i� �rr,�✓vu3 srr.n �) <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX COUE IS 3705 <br />e read and examined this <br />laws and ordinances gov� <br />ornot. Thegrantingola <br />or <br />and know the same to be frue and <br />ype o/ work will be completed <br />o not presume fo give authority to <br />�egu/afing construchon or the <br />ier o/ this property to pedorm the <br />� Contracrors Law 18.27 RCW and <br />Phone <br />FEE <br />��ll `(/�i- G�J i�i <br />