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---( ( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICE� <br /> 320D CEDAR STREET, EVEREI"f,WA 98201 <br /> 425-267-8810 - FAX 425-257-8857—www.evereriwa.or8 y/�8��� <br /> APPLICATION9 ARE ACCEPTEU FROM 8 AM TO 1 PIW ����y_�� <br /> 50_��J (4S�Y_10 �00.,� <br /> PROJECTADDREdE <br /> O�Mler M�II/Wtlrcti Gty sl�t�lDp Phono <br /> 7enant MNI Atldaee City Sl�telZlp P�ona <br /> l � b <br /> Ebdrfaai Contrador �•� ,a• �°"�'' (3�0�'�`�9-z iy <br /> UCGIZE AINE 4Q2S(e �3�0 <br /> State Lkense Number Conhad P�ta of Wo�k <br /> �-11 J� �St6 ' <br /> �ropoa x o uildinp • Confad Person (Plen Review) <br /> osacdptlon of wonc lo e�Done: �f� 2 ���V YC Gl�C�eS O� 0� nra rr s� <br /> sourc.� �� �rv�s_- �,nd �,ul� �a�ch ��� �Fr ?v's <br /> NOTE: WIRINO IN NON-DWELLINOS IS REQUIRED TO FEE <br /> 8E IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAIt CODE 18�706 <br /> I heiebvi cer6'ty fhat 1 have read and eraminnd fhle applicefbn and knou fhe aame fo be m»end , � \��� � ' <br /> Com9Ct. qi�pryv!alone o/laWe end oldinenCee Opwminq Viis fype ol waAr wtfl be comnbfed -' � ��: <br /> wA�ther aperJYietl hereln or not. The pinnNny o!e ermtl do�a not pnwme(o piw auf to"' <br /> pe���e���i�nal�%„�r."ron°"�wa('�d"'i w�'w�r°nYin:°si��ar���ua���i W i°e 2°i�"w p,PR 2,8 10�\ <br /> i$e.2� nc. C�� <br /> v\:\ �' ' � <br /> L/ C.1\,`l,�,),���' `�= <br /> N'X <br /> ipn ta <br /> Ello�l- i 31 <br />