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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES ,`z�,� <br />3200 CEDAR STREET, EVERETT, WA 98201 /� <br />425-257-8610 - FAX 425-257-8857 —www.everettwa.org G����p _ pl � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />/��C,t,i, z� Z8 v�-1 / 3 a� 3v�1 �oo <br />�al E��QbP-�-�1 WAy <br />PROJECT ADDRESS <br />�Iw � Sx�E u.a�c g3oY rG��,u�r� P� �Uw��s W'� �t Fut� <br />Owner MailAddress City State2ip Phone <br />Z�3 <br />PR�Fe�o�,n� livz� ZoN �(�,u.,.,� LLC �cl f. vo2e� w�v fa�ace� r z�7- 50� ll <br />Tenant MailAddress Cily State/Zip Phone <br />2�3 <br />Electrical <br />��7� �ic'9yij�'LiiS <br />State License Number <br />Proposed Use of Building <br />Mail Address <br />N <br />Ciry <br />k.'h� %h, <br />State2ip <br />�5"tx) � oO <br />Contrad Price of Work <br />3��--itU� <br />Phone <br />�?C�� 7�Zx 2�3.a,}'�-11i,.�1 <br />Contact Person (Plan Review) <br />Descnption of Work to Be Done: �NiT7JLL (Jr C•�(�'% �«N -'Y 5�� <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 />f here6y c=Ri7y thaf 1 have read <br />correct. All provisions ollaws s <br />whefher speci6ed he2in or nof. <br />violafe or cancel fhe provisions <br />pedormance cf consfruction. T <br />work lor which applicahon is ma <br />296.200 WAC. <br />this aoolication and <br />l(i" z <br />fo be frue and <br />omp/efed <br />a aufhor,'tv to <br />and <br />FEE <br />I�d�I� -U i l <br />