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O1-:J:08 MOY 19:?0 FAS J:5 SSS 1810 DUiTc� ELECTRIC <br />ELECTRICAL PEI�MIT APPLICATION <br />CITY OF EVERETT p�RMIT SERVIGES <br />3200 CEDAR STREET, EVEREIT, WA 98201 <br />425-257-8810 - FAX 4'25-257-t�857 — www.everethva.org <br />APPLICAT'ONS ARE ACCEVTED FROM 8 AM TO 4 PM 1- DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />Z92o T�a,� �.r�c. �r.�� <br />PROJECT ADDRESS <br />/'eaT` <br />owner <br />Tenant <br />�-Electdcal <br />�t/M�� Z9// ,G�iEwU ST, 'E <br />. l Addres5 � - � Lrty <br />� �, <br />� MailAtlEross � . City <br />L�C.L`'Cd7�°e•C /2�{a7 prukl�r�c <br />'. MailAddmss� . 6fry <br />7�U 7TC E � f 3 7P� <br />Slate License Number � <br />Po,¢r� �cu�. r-y , :��R ��i u�.--cr� <br />Pmposed Use of Builtling . � . <br />� Descrip6on of Wark lo Bo Done: <br />?�zn/ �2s-zs9- 3 <br />Slate2ip P�one <br />Sqtelda Phone <br />'� State/Zip� ` Phone <br />/���Pi�d . CT <br />Conlract Prite of Worlc . � <br />�/Z JCt �GS2-�/� <br />Contad Person (Plan Reylew) � . � <br />�cJIJ ,�LOu1 VG! <br />Sy�L-'-�� 3G{ ?0%5: - �2_ �:��f� .;�Cr��2-i:� w /2/I�1 <br />� <br />13 � d�T "fP� f�S � , : <br />NOTE: WIRiNG IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RqCEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT �OCAL SALES TAX CODE IS 3105 <br />I hare6y ceriry fhaf 1 have reed and exemrned [his appGcallon and <br />FEE <br />e to 6e trve and <br />comp/eted <br />re aufhoitfy fo <br />tion or the <br />� <br />�U��.�� 113 <br />