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E�ECTRICAL PEIZMIT APPLICATION <br />�CITY OF EVERETT I�ERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-6957 — www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />7�l ZS tl�.ra�y . f� . f.-..� ia , IJA <br />PROJECTADDRE35 <br />Z-/Z <br />i�.yJNi. SNira ifv'v�:1n�4;vi1 ��l��C.3 5`��151 �_�..m..r.tSl� W(> �oi: 3l•�I- �7Yir('� <br />Ownef Ma11AddIBse Clly $tgle/71p p�pr�e <br />Tenant <br />Mall Addrase <br />�N <br />S�ate!'ap plqna <br />�' y, b A l� c��'t WA 'iv?2.3 `'t <br />'�a:.2�;:2 Y��Lti <<X[.`-e_ll" t-L�. 17 UJ `riy{h/�,t 1Ji. �.. HZS 24 -( <br />ElectricelContractor Malinddiess Gry S��p p�� <br />i� �r��,f- (� S`15 I I� C. <br />Stete Licenae Number <br />��lc_i�.�_..� � <br />Propoeed Use ot BuiMing <br />Desaiption of Work to Ba Done: �=�. `, �:,11 1" ; K ,� �[•{ �^� <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 �106 <br />3"� w `= <br />Contrad Price of Work <br />_�it�- �:�,�»crL `127� i;y�i I�-j�t`> <br />Contad Person (Ptan Review) <br />�� <br />j,�i j.�—,,..��/� }Z�S �U% <br />id <br />FEE <br />