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ELECTRIGAL PEI�MIT APl�LICATIOiV <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET. EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8657 — www•everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />4'��� =Q'rr �J� �� <br />PROJECT ADbRE55 <br />E /20 � <br />—� Z <br />���_r—_�t,w�s�� �9/03 �9'���.5� ���n�r 11�-�� <br />Owner Mal� Address Ciry Sta���zip Phone <br />Tenant <br />Elec���cal Conlreclor <br />Ma�l ��dmss <br />41ai1 Atld�ess <br />�i � l�C.r� .� 1a-1 c>� <br />Slale Lirense NUmbor <br />Proposetl Use of 9u��ding <br />DoscriUtion ot Work to Bo Dona: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CA6LE. <br />CITY OF GVERETT LOCAL SALGS TAX CODE IS 3105 <br />r•�i <br />Ciry <br />Cily <br />Stare/Zip <br />51atc/7ip <br />�y% � <br />Contr�ct Price at `Nork <br />Phnne <br />FSlI-'�83� <br />ContaCt PerSon (Plan Review) <br />; to ba tn�o antl <br />complefeA <br />�e . ulhonty to <br />lion or fhe <br />o porromi fhe <br />827 RCW �nd <br />-�i— f Z <br />PhGne <br />FEE <br />��Zo2-- IS5 <br />, � o a�t otaloa�3 ooaiM: L1J21d <br />id bl.Jy<:Lii 7.if_��_ B�. '�q�'� 8�8hT69E:9c: 'O��I ;,tJ� <br />