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ELECTRIrAL PERMIT APPLICATION <br />CITY OE' EVERETT PERMIT SERVICES <br />32G0 CEDAR STREET, EVERETi', WA 98201 <br />425-25%-8810 - FAX 425-257-8857 — www.everetlwa.org <br />P,PPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�/D � �v �� �r�-, �; a U e. <br />PROJECT ADDRESS <br />l\ <br />Owner <br />Tenanl <br />%0 � G.J 1�1���i� <br />Mail Address <br />Mail Address <br />�U P�� <br />City <br />Cily <br />W I9' <br />Stale/Zlp <br />State2ip <br />�g--2�'l <br />�y r/a �� � <br />Phone <br />Phone <br />n ( � H G� Y27 <br />1/.uctv�ahk ��e�"�'� )���1 Z��i�TSW li�oun��c�(4 �r�4CC �✓�' `��� ��o �Os <br />ElecUical Contractor Mail Address City Stale2ip Phone <br />L�G vlG� V'�<- ( 7� ��� <br />Stale License Number <br />Proposed Use of Building <br />—� 2� � a � - <br />Contrect Price oi Work <br />Contact Person (Plan Review) <br />Description o( Work to Bo Dono: c{��{ Z z o a,..n C i r� K, ES � re{� (a e� <br />4l, <br />NOTE: WIRING 1N NON-DWELLINGS IS REQUIRED TO <br />B[ IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certi/y fhaf 1 have read nnd examined this <br />� <br />know the same fo 6e Wo and <br />oI work �vill be completed <br />presumo to give authonty to <br />lating construction or fhe <br />l this property fo pe�domi the <br />,r�aorors Law 18.27 RCW and <br />�c�s_ 2 2�r1 <br />FEE <br />/�o� °D % <br />l <br />