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io�us-zoio io:ss r:�s •r�:;a:i:>;aso ��:�u��r:i.i. iti.�tc�rizic <br />PRW ECT ADDRESS <br />,-l� /Qoa <br />Owner <br />Tenant <br />/�_ fl i, i . <br />ELEC4:�RICAL PERMIT APPLICATION <br />CITY OF EV�RETT PERMIT SERVICES <br />C�ooziooz <br />3200 CEDAR STREET, EVERETT, WA 98201 /fj —6 —I� <br />425-257-8810 - FAX 425-257-8857 — www,everettwa.org �/ p�D r�� v <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM . <br />Mail Address <br />Mall Address <br />Electrical Cantraclor Ma�� Addross <br />f/,��N ��x�78�1� <br />Slate Llcense Numbar <br />�/�ara.4� <br />Proposed Use f Buliding <br />DescrlpUon of Work to Bo Done: <br />�Y��o3 <br />' i� G d �LYL{7R <br />City <br />Clty <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />t BE IN R,4CEWAYS, MC OR AC CABLE. <br />Na <br />Stale/ZJP <br />State/Zip � <br />Phone <br />Phono <br />Ciry � StateflJp � Phone <br />� ,3r aa, �-� <br />Contract Pdce of Work <br />CITY OF EVERE7T LOCAL SALES TAX CODE {S 3105 <br />I hereb�y cerUly that 1 heve read nnd examinod thls appllcetlon and know the same to <br />Contact Person (Plen ReNow) <br />� <br />FEE <br />end <br />to <br />