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ELECTRICAL PERMIT APPLICATlON <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 />' � � U �,����2� ���2. <br />PROJECT ADDRESS <br />�(rTC� <br />Owner <br />S �b�l/ <br />���o s ��33 <br />a��s �BiH l.�m.-,�D�- ��.U��- c.� n-- °� <br />Mail Address <br />City <br />Stale2lp <br />� �5� <br />$UZ1 3s�- 2� <br />Phone <br />Tenant MailAddress City Stale2ip f�SP.J�one <br />l 'J <br />P' �. -�0� ElC�1 f; c� � 4 I� s`1�4 �S r_ ��T � II�yD �1 �-- ���'�z (�I �- -� <br />o� r�� <br />Electrical ConUaclor Mall Address Ciy � Stale2lp �hone <br />j��L��t �1z-� �S�''l ���Su� <br />Stat License Number Conhact Price of Work <br />S'17��- -C nr� : L� ( :S;G�c�c L <br />Propose Use o( uuilding <br />Description of Work lo Bo Done: <br />� r�.o � c � (�s�r1 � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />RE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />read and examine.i this <br />know fhe <br />of work w� <br />� Y�}�( f�s � �O I'� ,2k'K <br />Contacl Person (Plan Review) <br />�F � D�� Sa ;�rl- I��✓� <br />e fo be truo and <br />completed <br />ve aulhonty to <br />tion or fhe <br />'o perfom� fhe <br />'8.27 RCW and <br />� <br />G/ . �—�" Z�� � <br />FEE <br />�1 I �- v33 <br />�2� <br />