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( <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES 5�� _� 2 <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everottwa.org E�rj,p 5-033 <br />jS 31 �.w�- sr <br />PRW ECT ADDRESS <br />Owner <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />Mail Addresa <br />� <br />StatdLp <br />Phane <br />�r+4r�4uL� GI-� G.401l-� <br />Tenant Mall AdAresa Gty Statel7Jp Phone <br />�'�n� li t7.�7a-12_c C l�O� l F6 *'b/�+ceJJ Sc'„�,� ww� wdl-- �'i.Y Z�+ 2_ <br />ElecMcal Confrador Mail Addrosa Gty Slate2ip Plane <br />�w^.�`Sfi�G 1 `�'14'� �T � ��jd �� <br />Stete License Number CoMract Price of Work <br />(L c :cic..�� � a, l <br />Proposed Use af Building <br />.Te&�- I�t.t.Sa7 y�'�653l7 <br />Contad PeBon (Plan Review) <br />Description of Work to Be Done: _� � 1 T�� t� �'ZCp 1�"�-�.1: r^(� / Gl�t � <br />�: ' •- C • '.� J .t I <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />read and exemined fhls eppliceNon and know the same fo <br />�ws and adlnences govem/ng th7s fype ol wak wilf be con <br />FEE <br />� O� <br />and �I��— 033 <br />