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i' I,� l�- Li � � <br />PROJECT ADDRESS <br />1 <br />C,� Il �l � c <br />Owner <br />Tenanl <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everetriva.org C_ 7,_ /b <br />J <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��� S_.a�j <br />1lltii�if���C':�1 'J�r��C'. <br />Mail Address <br />Mail �ddress <br />C�.ffjiX' <br />IZ (' 1 fu� � i��� � r�.� I S�� �.� I Il'S �'� 1�«- <br />Elect�ical Contraclor Mail Address <br />�� �V� � � i: «< ( I (''.����.i, i�. <br />Stale License Number <br />Proposed Use of Building <br />4���= �fSs-- <br />j ��l�II�UUr, Ll(Y{ �I�'(��,�1 �'�� s�<'- <br />City State/Zip Phone <br />City Slate2ip Phone <br />� F��t,�ll�,> ��',� �s � ��(z c�.1.sv�, �� �s <br />City State2ip Phone <br />Contract Price of Work <br />(J���J ��(� ll <br />Contact Person (Plan Revlew) <br />Description of Work lo Ba Done: 1_ ��'l` f(� l' i�_ L i�� Il llr (' fl Cn )S �t� (1 �. � 1� �� N;��� E n r <br />l— <br />��i��fiC� Il� 1 ��L��iPv„5 Ivl kt��(��e�,_ — <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 9105 <br />� hereby certily fhat / havo read and er�rnined this applic�Lon and <br />conecl. All provisiais o/Imvs and ordmances govermnglhis (ype <br />u-hether soeci6ed herein or nol. The aranfir�a oI a aerrnd doiu nof <br />fhe same to be true and <br />k �vill be completed <br />rne to give aidhonty fo <br />consVuction or the <br />�ropert}� fo peAonn fhe <br />�rs La�v 18.27 RCW and <br />' l ,�, / ' /� �— . <br />���� �� �- �> > � � ���� <br />FEE <br />� � CC�� c'2'�- <br />