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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERET� PERMIT SERVICES <br />3200 CEDAR STREET, EVERETi', WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��/GS- f{�o7Qr5on QeQ b�'��'fl ick'l ?�'...2c;=� <br />r <br />PROJECT ADDRESS <br />�10� 3,��`�tiv� w <br />Mail Addrass <br />�P <br />SWte/TJp <br />—30 �0,(� <br />1LY 7�+ <br />Phone <br />��Cike �: �=n 7�/lt'��I�'��'c�Sctii �f.� srr �. Lv�.��W�t 4 P�.3 <br />Tenant Mail Addross Clly Statorzip Phono <br />Electrical <br />Mall Addross <br />:3�u�[� 17c✓^ <br />Slete License I�umbor <br />ReS�/ r_('0.Jrt_I <br />Proposed Use of Building <br />DoscdpAan ot Work to Be Done: �pq v�Pl � f O(.l.�l <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 oxamined thls applfcaflon and <br />vhich appllcationls made and 1 <br />NAC. <br />, <br />� i �— <br />� � <br />��.�.i ` /�/. <br />ilgnature � �,%/ <br />C� <br />�; � <br />City <br />Slate/Zip <br />��,�� <br />Contrect Price of Work <br />T 7L <br />Phone <br />���� r l� :�, � k �, �1�,� t <br />Contacl Person (Plan Rovlew) <br />,L' .i"��t{M (.�'4G✓tr ,�h,j��u�li�+�� <br />J <br />G. <br />3 to be true and <br />complefed <br />�e aufhonty fo <br />ffon or the <br />o perlorm the <br />8.27 RCW and <br />FEE <br />E�G�o�-,�i3 <br />