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ELECTRICAL PERMIT APPLICATION <br />CI3Y OF EVERETT PERMIT SERVlCES <br />3200 CEDAR STREET, EVERET7, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettvra.org <br />APPUCAT10N5 ARE qCCEPTEp FRUM B AM TO 4 PM <br />i� b I I I 8�" �; s� �� �.:�1- <br />Paaecr n: ��ss <br />Owner <br />Tenant <br />ElectrlCal ContrBctor <br />Mall AComas <br />Mnll nddreas <br />� � � - lbox �R <br />Mail Address <br />��Rvz�� �� i c J- <br />Stete Liconee Numher ' ' <br />Proposed Uso of B�ildinfl <br />�R00 <br />Squnre FaWnge (I( ess�aenlial naw consWctlon, rrmodel or additian) <br />Descriptlon ui Work to ed Done: __ � ��'L Q, <br />NOTE: WIRIN(3 IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITy OF EVQ►tE7T t.p�pL g/�ES TAX CODE 18 3t05 <br />1 h¢Ieby to/fily that 1 huve iead and xrA..,r.,�.� rti;� _�,..,rr,., <br />�� sn�,�, <br />and <br />City <br />Cky <br />qry <br />Skle2ip <br />Phone <br />S���v Pho <br />( 3bo� <br />�$a70 6S3�1y3s <br />9��+p Phor.o <br />Ll g000°� <br />Contmct Pnco of Work <br />�a�.�-� y ZS 2l 0� �_ <br />Conted Person (Pian Revlew) <br />o to be hue and <br />camp(otod <br />�o aufhonty fo <br />Gon or tho <br />o pe.torm the <br />8.27 FiCW and <br />FEE �i <br />�6b - o'D <br />� I �(OZ-0� <br />