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u4/�3/20��7 13:2� 253-627-6691 CLOVEF. CREEI< ELECTF.0 PAGE 02/�2 <br />EL�CTRICAL PERMIT APPLICATI�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 C[DAR STRE�T, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-8857—wwvd.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�l� s�. �v�.-�-� MA�I,�>�y 5�1�- 1 <br />PROJECT ADDRESS <br />Owner <br />Mell Addmas <br />Clly <br />S�ntelZlp Pho�e <br />Tl G-1 �-C GC.51.S SAt�I E I,UA .�l.F.?!JE <br />Tenanl MnilAtltlress c�ry S�.ite2�p Phone <br />,, . . <br />G�ov�. C rt=,�, ld l� C�.'�m'Yt �'t Tti\CC.'w1 V� w f� a�4U°i C�2`l -1�4� <br />EleclriralCon(ractor MailAdtlrenq City Slute2lp Phone <br />C�.Ov �.Z�, Z�13 :�4 <br />S�ate Licen3e Number <br />l�Al� �f��ti� <br />Pmposed Use of Buliding <br />bescrlptlon ot Work to Be Done: <br />NOTE; WIRlNG IN NON-DWELLINGS IS RE�UIRED 70 <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT L�CAL SALES TAX COPE IS 3106 <br />! Bemby certi(y fhnt I hsve read an� oxnminod fhis applia <br />or <br />Is mr+de anU I <br />Contract Price ot Work <br />Contact Person (Plon Review) <br />lo be lnlo and <br />omplofod <br />r authoAty to <br />FEE <br />� <br />� � 1,��" ( ' ��L� I <br />