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Oct 16 13 09.12a Vickie <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />pt <br />3200 CEDAR STREET, EVERETT, WA 982�1 �� �b`� <br />425-257-8810 - FAX 425-257-8857 —w�ww.everettwa.org 3 <br />APPLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM <br />I O � S (.,�i . "}'Yl i�.k '� � �� o � 1 �; t <br />PROJECT ADDRESS <br />rn��a� <br />Tenanl <br />t�4 2,� �5 �.�5�'IZ.� <br />Ma��l Addross <br />>ps � ?hi <br />Gity <br />C i 3 /o- l3�/ <br />Q�ZC� <br />SL�lo2ip Phcne <br />��s -� �sa-�,�9 <br />Atail Ad�ress C�dy Statc.�Zip Phcne <br />�i.��Ec��� e,c.� �c� �,c� gmc �=18' �P��t-�.��s, 41A`I$2�Z <br />Eiectrical Gontraclor nta�l Aderess . C�ty 54,IerZip p=r.o�yne <br />�-i�%� ���0 <br />I,l),��c'i��Z l�IC�U �d <br />Stat� Liconse Nurnber Conlr�cl?rice of'A'ork <br />�G�Qlt1o�� <br />Proposed Uso of Bullding <br />Descrip�ion of Work l0 6o Done: <br />NOT[: VdIRING I�I NON-DWELLiNGS IS RGQUIRED TU <br />�E IN RACEWAYS, MG OR AC CA�LE. <br />CITY OF EVERETT LUCAL SALES TAX CODE IS 3105 <br />or <br />1 have :oad Und ezarn7neU fh/s appl¢ <br />ns o/laws and ordlnances goveming <br />ereln ornot. Tiro gronfing o7,: permi� <br />i provisions ol any othor stafe orloca <br />sfruction. 7haf 1 um aulhonzed bylh� <br />'ca0cn is mada and ! compty with fho <br />and krroiv tlie <br />�7�� oI work w. <br />,�� �3 <br />Conlacl Person (Plan Review) <br />! <br />c lo Uo (ruo and <br />complolod <br />vo aufhonty fo <br />fron or (ho <br />'o pcdonr, the� <br />'9.?7 RCbV ond <br />FEE <br />�75 °� <br />EIJfD- I�c� <br />