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ELECTRICAL PER�VIIT :+4PPLICAT!�ON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425• 257-8810 - FAX 425-257-8857 — w�vw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />�1'ZC� V•f . 11`1a����e �; ,p �v 1�r"���, � <br />PROJECTADDRESS <br />(�c_G �ZO vJ. ��ar„� \l �wD� It�e,�e+4 ,�ti�1 ��?f�� 192s125—�-��o�,� <br />Owner Mail Addrei : Cify StatelZip Phone <br />\� <br />Tenan� <br />Mail Adtlmss � <br />i� <br />Ciry <br />m <br />Slate/Zip <br />ii <br />Phano <br />`��c�n���r,1 \ciu�;�c. 2221�Lo�l,�v�n�c`�tIF�Prz�livJw �'r�7nl (4ZS L5'S-�4h� <br />EleCtncalConlractor MailAddress City State/Lp - Phone <br />�',Ni`CF � Z�\N!'� <br />Slate License Num6er <br />—�� �CS—ti 1 �\� C C_C �� l-A (� 111Q <br />Proposed Use o( Buildinc� <br />Descriplion of Work to Be Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN R,4CEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />`�2,ZIS.c�cv <br />Contract Price of Work <br />V�1GL�Y�E'_ ��l�C'.111P�e U <br />Contact erson (Plan Review) <br />FEE <br />�G��I6 U�,.`\ <br />