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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES _3 _gyp <br />3200 CEDAR SI RL=L- I, L-VL-RL11, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org E /� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />3-31/ <br />�t� LUe{anore, _. <br />PROJECT ADDRESS <br />Thg,,5_en_Fn1nv1.9 Stantcccd__lya gg�ga - <br />Owner Mail Address City State/Zip Phmm <br />VP _C_en+irec 23 t I I,ue tn1 ore e veret,L W A 01 s'a O I_ <br />Tenant Mad Address City Stnle0l, Phona <br />Per&rm"ef Electric a C, 73o-I a8and PI IJIuS t.A,�Ood_I,JI)�_98a9Q <br />Iaectncal Contractor Man Address city StatelZgr 31pb_5-7Qt=hV!S <br />Pe2.Foer glgo� <br />State License Numoer <br />CoullSe0nq Cent-t <br />Proposed Use of BlaMing <br />Description of Work to Be Done: _ <br />e&p Lct anel <br />N01"E 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 />read and examiner) this <br />or <br />-- —Signature - Ualg <br />nROD0.00 <br />Contract Price of Work <br />SC.ot t 8 iotn <br />Contact Person (Plan Review) <br />m same to be Inio and <br />mll be completed <br />e to give aulboafy to <br />mstrncbon or the <br />rryerly to ryorfomr gre <br />Law, 1827 RCW and <br />r <br />C�� <br />