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( <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, :NA 98201 <br />425-257-8810 - FAX 425-257-8857 - vuww.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />3�'oS rtJ�� 5s� � S-� <br />PROJECT ADDRESS <br />jLl'l7rlvl,t. �l��t. 37� f1�u55�v `�'1' �vev�� L11A� �l�ol `iZS-�zZ "x <br />Owner Mail Address City State2lp Phone <br />Tenant <br />Electrical <br />Mall Address <br />G �1�/2 � <br />Mall Address <br />c rr �.� � 9y�1�� <br />State Lfcense Number <br />Proposed Use of Buildinc� <br />Description of Work lo Bo Done: �{ "dC� t� <br />1"G <br />City <br />� <br />�15 c�� <br />City <br />Slate/ZJp <br />�d��titi.�s �k y <br />State2ip <br />Contract Price of Work <br />Contact Person (Plan Reviaw) <br />l V�6f� 7 S 'ro'r n�'�--,�1ri <br />t i, .. ��v�. ��//'C �.�C <br />�l.<<7G(,4(,�U� 1 O .�j � ('IOSCC.— !�S �� <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 />I hereby certify that I hovo read and examined this applia <br />and <br />����!�L) ���..,�-� S"/I/�2�1v <br />9 fo be true and <br />completed <br />re authonty to <br />tion or the <br />Phone <br />��nz <br />Phone <br />FEE <br />�%Y,� !)t-( �- <br />