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05/10/20�2 21:24 <br />p0068 P.001/002 <br />( --'---� . . _ . ..... . .. ._ . _ ._ i . . � <br />t <br />ELECTRICAL PERMI�' APPLICATION <br />CITY OF :EVERETT PERMIT SERVICES 5�(I �� <br />320� C6pAR STREET, EVERETT, WA 98201 b <br />425-257-8810 - FAX 425-257-8857 - www.everetriwa.org �! � s'"� � <br />APPLICATIONS ARE ACCEPTEp FROM S AM TO 4 PM <br />l�Sb /�luGI�ONC! � .. <br />PROJ�CT ADDRESS _ ...,, <br />5 <br />uwner nnana,aaress ury s[a�up rnone <br />Tonant Mail Addross City StatrJZip Phone <br />� !t/1Tr� �r1^�/ ' 60. _ Usv�1 <br />Ele ral ConVactor Mall Adtlross �� <br />i_ <br />�=�'��w5s�yz �p��:� �:�: <br />State License Number - � •- • <br />�P 5 _. :.: �;... . . <br />Propased Use of Building "'• � '—"'-- <br />pescription of Work to Be Done: <br />t.c .�'�r. °�. y�'zv l `y Z� = zj f- <br />Cily � State2ip Phone <br />. _. .: , . y0o`� <br />Contract Price of Work <br />" ' ' Cantact Person (Plan Review) <br />NOTE: W IRING IN NON-DWELLINGS 1S REQUIRED T0 <br />....... <br />8� IN RAC�VIIAYS, MC ORAC.C(�BCE- <br />CITY oF EVERETT LOGAI. SALES TAX CO�E IS 3105 <br />.:......,.:•, ;:':': �� <br />5��0 <br />�����. ._ . S-//_� ,z � <br />id <br />fl <br />E'IZOS-O�� <br />� <br />