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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857—=Av.everettwa.org <br />PROJECTADDRESS <br />t <br />0wner Mail Address <br />Tenant 1 A try"1��q1— Mail Address <br />OVv'" v _ <br />Electrical Contractor Mail Address <br />State License Number (required) <br />sF kP'+'L <br />Proposed Use of Building <br />ti Aso Se <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />Description of Work to Be Done: I q— "-*V t Vt <br />w <br />City <br />City <br />City <br />work forwnrcn appocaunn is moue mlu 1 uvuwWl -.-•---....-- --- - <br />296.2001yAC. r'� <br />Lips--Mz <br />StaleOp Phone <br />State/Zip a 1&Phone <br />/ y j o% <br />State/Zip Phone <br />City of Everett Business License Number (required) <br />Contract Price of Work <br />Contact Person/Contact Number/Email <br />-ra -,to►s- <br />aFv6F0 OM/2014 <br />