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� <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,everethva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> i�9 CNESTh1vf Ev�T <br /> PROJECT ADDRESS <br /> K 3 H cvr►�atlo� B2o7 74� P�Ac� <br /> owner a �. �YSY�llE w 9g�7a <br /> Mall Address ��ry <br /> Stat p Phone <br /> 5/4riE <br /> Tenant Mall AdOreas <br /> ��ty State2ip Phone <br /> EP�c ECF-crK+c �Nc. Po. (3ox 35"7 S�orbM�S►1 <br /> ElecMcal Contractor Mail Adaress 9829 I 3to — <br /> Clty S te/7Jp <br /> Phone <br /> _�Pj-C EL�F r�33�F <br /> State Llcense Number <br /> Contract Prlce of Work <br /> S�N�IE F�tILY !l�SlD�i.�c� <br /> Propased Use of Building <br /> Contact Poraon (Plan Revlew) <br /> Descnptlon of Work to Be Done: G�L�ICAL W � i ,,�� �2 5,N �� �i� <br /> (�S�O�c_� . — <br /> �_ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br /> BE IN RACEWAYS, MC OR AC CABLE. FFE <br /> � J <br /> CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br /> wI hereby certily fhaf 1 heve read and examined this applicetion end know the same to be fiue and <br /> hafher specdieo here n�oeNi,�f nfhe g antin�o/a perm9f doesynofp resume�to give�aut o�ty to <br /> vio/ate or cancel fhe pravislons o/any other stafe or local lew regu/efing construcflon or the <br /> wo�k lor wh/ch ap�l aation�s m do�and I compty wlth fhe 3fafe Conf esfo sPaw/8 2 RCW and <br /> 296.20 V�C. <br /> �� �� b3 IS 2aoS <br /> Sipnatu�e <br /> ' Date � -.�—" /�/ <br /> d <br />