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06 04 05:358 <br />P.i <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-88 i 0 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PV - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />PROJECT ADDRESS YLS <br />oy w K Ifr <br />Owner <br />iz 3s n �t t7 ti, 9f�i <br />Mail Address <br />Ciry State/Zip Phone <br />Tenant Mail Address <br />CIN State ZJp Phone <br />Electrical Contractor — -- �` `• r .'Z�y 4 /q. 5i o40/ <br />Mail Address City State2lp Phone <br />'k1,A14 fs / 2 LP <br />Stata License Number <br />Contract Price of Work <br />Proposed Use of Building <br />Contact Person (Plan Review) <br />Description of Work to Be Done: /ZXZ:�/rJ C /RC ylJ FG iL S fiey <br />�.. fr r4VhJ <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 3105 <br />or <br />read and examined this <br />comply <br />and know the some to be true and <br />rpe of work will be completed <br />not Presume to give authority to <br />9o`this constructionre or <br />the <br />Contracfors Law 18.27 RCW and <br />/G <br />FEE <br />3S ' v <br />