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E�ECTRICAL PERMIT APPLICATIOfJ <br />CITY OF EVERETT PERMIT SERVICES C{ �aa�--�I <br />3200 CEDAR STREET, EVERETT, WA 98201 ���b U..Q(�5 <br />425-257-8810 - �AX 425-257-8857 — wuvw.everetiwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AI'A TO 4 PM <br />� � �5 � o.� '� h-e v � e.,� � v � � e , <br />PROJECT ADDRESS <br />: 1 V� i — <br />p�y�e� Mail Address <br />K+�RI <br />Tenant <br />��U. <br />Mail Address <br />Electrical ConUaclor Mail Address <br />O W •�C cI <br />Stale License Number <br />`� S i r)E•AC.p <br />Proposed Use of Building <br />Description of Work ta Bo Dono: <br />V <br />G F 1 ;� C�1-(� �-oo�. <br />F <br />Clty <br />;� <br />��ty <br />SlatelZip <br />Phone <br />4-2�-353 - ► �12Z <br />State/Zip <br />; ��R, �• 4�275 106- 7 <br />Cily Slale2ip <br />I �O� <br />Contract Price of Work <br />��7I+ ta� (� <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 3705 <br />1 <br />I have read and examined this <br />/� <br />. <br />Contact Person (Plan Review) <br />3 to be trus and <br />complefed <br />re aufhority to <br />tion or the <br />o pehorm the <br />8.27 RCW and <br />FEE <br />Phone <br />_ a, <br />Phone <br />� l/04 -UGs <br />