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i L1� }� : �.Y <br />T0:14252'�78857 P.3 <br />ELECTRICAL PERMIT APPLIC,ATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 • FAX 425-257-8857 — wwNr.everettwa.org <br />APPLICATIONS ARE ACCEPTED fROM 8 AM TO 4 PM - DEBIT 6 CREDIT CARDS ARE NOT ACCEPTED <br />�1 i l3�''� f�JE <br />PROJECT ADDRE68 <br />Wr 13�/YJ I � 113 �' �'�J'� �'(,l�--/� <br />Mau nddreca dry <br />�� � <br />�S <br />Phone <br />Tenanl Mall AOoreae �� ptl, _ Gk _/ ��1 .P f ISWtNLp Phone <br />7 / ewW-c �t'v ✓ <br />�N �r�ca.�,ti �N ��(a C.✓� 9d��4� �' � 2 �2Y� <br />ElecUlcal ConUaclor Mall AEdnp CIy Sta1�21p Plia�e <br />w�.r�-ri�s �� �v� <br />State Llcense Number <br />Vr` <br />Prcposed Use of Dullding <br />Desc�ipllon of Work Ic Be Done: <br />7sa, � <br />Conlracl Prlce ol Work <br />Conlact Person (Plan Revlew) <br />� 'zs fP'wtp C(►; <br />� iz�- _ �j-G <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIRED'� FEE <br />BE IN RACEWAYS, MC OR AC CABIE. <br />CITY OF EVERETT LOCAL 9ALES TAX CODE IS 3105 <br />Or <br />read <br />matle and <br />end know fhe seme to be true and <br />Vpe ol wn�tr wlll be completeC <br />nol p�esume fo glva eufhorlry to <br />BpulBflnp conSfNd/on or fhe <br />er o! Ihlsp roperfy lo poAorm fhe <br />Confreclnrs Lew iB.27 RCW ert0 <br />� OSDS— OQC7 <br />�(� V <br />