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RANDOLPH NEFF <br />� <br />425-742-7200 P Z <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.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 Ph1 <br />t 3-3 c� S�� r,,. Sk S� � Cv es�� �`b zo3 <br />PROJECT ADORESS <br />�����;� S�.Qarr��rv �33U 55�'"'s�-Sw C.��-��� wY'c `���1�3 <br />Owner Mail Address City State24 Phone <br />TenaM <br />Mail AdCress <br />Cily <br />State�Zip <br />Phone <br />a �.,���� �t���--� P� �3� �-�.1� �-y �w�d �� ����� ti Zs�- ��z= ►�� <br />EleCtriCal Contractof Mail Atltlress City State2(p Phone <br />i�l��L�l�c=��-td k-l= <br />State License Number <br />Proposed Use of Building <br />� i �� .. (f� <br />Conlrad Prioe af Work <br />Contad Person (Plan Review) <br />�escription of Work to Be Done: �r��' ��'.1 � a �`� ` C' ��L� � i` %d � SD�v V�C9� �.+.� <br />sv �. �..,� C. ,- c' �� ;-Y �-o r L-4-c,1- -4-v�n <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERE7T LOCAL SALES T{U( CODE IS 3105 <br />�ead <br />a <br />� <br />lhis application and know fhe <br />goveming. fh%s type o/ work w <br />� � � S I`�--���a <br />Signature Data <br />!o <br />FEE <br />� <br />and }� f ty-< < � �� <br />fo {�' � �i(/� <br />and <br />