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u <br />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.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�-� EI/��"�7S 1�tJA- - �4 <br />PROJECTADDRESS -/ � � <br />� C�� I LF C� C� � � C �� <br />Qwner Melt atltlra;s Gily <br />/vl <br />Tenant <br />ElocViWl COntractor <br />p.L�M occR9u �q <br />State Llcense Num6er <br />Proposod Use of Building <br />Mall Addresx <br />Mall Address <br />�_ <br />ciry <br />ST,- <br />City <br />Slate/Zip <br />� <br />7�� 9.�3 <br />s��arz�p <br />� <br />� - �� 0 `?i�s� � <br />State/Zip <br />cA �7.�J1..�� <br />ConUact F'dce of Work <br />Contact Person (Plan Review) <br />Oescription af Wark to Be Done: �S /%�LC_ ��� �'T JcG �,�•�} �N� <br />% (�i ��OC�-/%LYVS Fr�/z �'7V'�/�`T� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />6G IN RACEWAYS, MC OR AC CABLE. <br />CIT'� OF EVERETT LOCAL SAI.ES TAX CO�E IS 3105 <br />i nerebv coRiry that 1 have read and exsm/ned tlrls appllc� <br />whother<. <br />violate or <br />is <br />and lmow the <br />V02 Of work W <br />l/� °r/O� <br />fo Ue true and <br />omp/efed <br />� suthonty to <br />�n or the <br />poAorm the <br />27 RCVV and <br />FEE <br />'rJ-�o=' <br />C�i�a�-IZ� <br />Phone <br />