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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR ST REET, EVF.RETT, WA 98201 <br />425-257-8810 - FAX 425-257.8857 - www everetivva org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />C: /3/Z-//Z <br />1o�95s�, <br />PROJECT ADDRESS <br />�0.ts�� �-�d�_ - -- c�O�o SSo y` <br />Owom ntto�Address ---- Crty - Stata2lp Phone <br />Tenant <br />Malt Address <br />Cay <br />Electrical Contractor Matt ,Address City <br />State License Number <br />sFR <br />Proposed Use of Building <br />Description of Work to Be Done I n nA& l l <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 />1 hereby Certiy that l have read and examined this aonlin <br />or <br />State/Zip Phone <br />SIalN21p a b4 J'A R • Phone <br />1;Ob <br />Contract Price of Work <br />,ate] Y i�-9-_ <br />Contact Person (Plan Review) <br />P to be true and <br />tomplerev <br />re ri 0 r h to <br />hon othery <br />2 <br />0%fogr the <br />Bo R WAnd <br />�� <br />shire Uate <br />