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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 — www.everettwa org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM / 0 5 -IO> <br />E_1D1p-01 <br />UIJ i W(V►P, Q1ultAc, <br />PROJECT ADDRESS <br />Owner <br />Cy itk ym_N w <br />Mail Address <br />M(, Flo l Q1Lk.P!i <br />City <br />, m , imy* <br />Slate/Zip <br />ft <br />Phone <br />Tenant <br />Mad Address <br />City <br />SlatelZip <br />Phone <br />r"*Co `AW <br />QG yj 03 <br />012 r.mY�1 <br />ov, fl PDl 99) <br />-we I <br />. <br />Electrical Contractor <br />Mail Address <br />cityStatelpZip <br />Phone <br />-1 <br />Slate License Number <br />Contract Price of Work <br />Proposed Use of Building <br />Contact Pemon (Plan Revleriv) <br />Description of Work to Be Done: SAJ SfA I 1 A 1J n O P_ -4I k-IC I_,r^ <br />C A ti,v o oar eNt,•tzrA / )$ ./c 6foad <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 />I hereby certify flint I have rend and oxammod this application and <br />correct. All prrePvisions of laws and ordmnncos governing this typo <br />wholbor saocaiod heroin or nol Tho granting of a eormil does not <br />FEE <br />and to 0 1 b <br />(J <br />