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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.everattwa.org <br />/D — /b — °7 <br />APPLICATIONS ARE ACCEPTED FROM 0 AM TO 4 PM <br />PROJECT ADDRESS <br />nLke� 01 40M*- 01Owner �prtr,U EL"" <br />Tenant MeA a cityp Phone <br />- - st"Op Phone <br />G u SO.00 <br />Sla License Nuffber Contrad Pdoe of Work <br />Proposed Use of Building <br />Description of Work to Be Done: <br />NOT[: WIRING IN NON -DWELLINGS la' REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE, <br />CITY OF EVERETT LOCAL SALES TAX CODA IS 3108 <br />Contest Person (Plan Revrow) <br />Icorrect hereby corory that I hove road end examined this applicadnn and know the same to be true and <br />whether <br />Are pmvsron� or laws and c drnencas ovemin,p this type of wak will be completed <br />Nhelher speC,Ged he�r,n or not The prenNnp S/e pertnrY does not resume to plus euthantyro <br />worsts a cancel the t avion or any other state or local law repuPenp construction or the <br />celannnncoorconstuction. Ihsflameuthodredbytheownero/�thls propertyropeAmCs <br />,vork for which application is made end I comply will, the Slate Con p <br />?96^ 11AC. avctoraLow1827RCwand <br />FEE <br />E c)-1 \o - L�ti3 <br />-0 36Cd LOV SAS 03S NVIcavn9 8Z661vE90ZT 99:80 10OZ/01/0T <br />