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o�iizizoiz oe:ao Fex <br />� <br />� <br />ELECTRICAL '+'ERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />42�257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />// 3 C7 l,v � CYla,ri +lL'. V i et,c� Qr; v2 -1�- Q <br />PROJECT AD�RESS <br />�ooi <br />-� ` � 3 "/-z <br />��zo �-�+y <br />�1�5- Co73�- <br />(,�j�-E. C�crst (�rEs��- �i3o W• I"1'lctrineV,'ec.vf�f Eve,�e-�- <br />Owner MailAddress City Stafe2ip Phone <br />Tenant <br />Mali Addrass <br />City <br />Slale/Lp Phono <br />Pe�"{'vrma.nee. E►ec�+-�i �-►30� a�san d P� ,vt,J �i-�wo�d 9�Sa�ra <br />ElBdricalConttadof MailAtldress Clty StalelZip Pho a <br />yas-�s�' S� <br />P���.o�r4 i 9 c�Fl <br />State License Number <br />,�,�� Re��; r <br />Proposed Use of Buildin <br />Description of Worlc to Be Dona: <br />NOTE: WIRING IN NON-DWELIINGS IS REQUIREDTO <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVERETT LOCl�L SALES TAX CODE IS 5106 <br />� ►o, 000. ov _ <br />Contrad Price of Work <br />Conlact Peraon (Plan Review) <br />FEE <br />2.50 00 <br />� l 20�- v� <br />