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Rpr 22 06 04133p P•t <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.0r9 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�Y3o -oa/=r PG Sty <br />PROJECT ADDRESS 142-r <br />35� <br />a&44if FoCkEIG�VA41 dY3o � fir. J� �v ?OP,0-T S <br />Owner Mall Address Cly Staletzo Phone <br />Tenant Mall Address Gy StateZp VV5Phone <br />,F%-AAJblji& Stl 3Go/ &'.24/ )s7.2,/4/ <br />Electrical Contractor MellAddress Gy Staterzip Phone <br />CH, .4AtSS /Y.2 4(0 <br />State License Numbor <br />=S f <br />Proposed Use of Building <br />Descrlptlon of Work to Be Done: <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TC <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Contract Price of Work <br />Contact Person (Plan Review) <br />FEE <br />EQ(poy -151 <br />