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Jun 09 200� 9:SS�M RLC ELECTRIC 2UG3645333 p.2 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMfT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �` p�y0� <br />425-257-8870 - FAX425-257-8857—www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />c.�o�o6-ou7 <br />_ 1���. � <br />FROJECTADDRE <br />Owner <br />TenaM <br />Mell Atltlrets <br />Crty <br />CXy <br />S181MLIp <br />Slrie2ip <br />Phone <br />Phone <br />�C �\° c'ct �� 2��.� t�1 l�'�F�� �c'�cv w.�.c .rA �`�\Z>>. 2h ��, i yv� <br />EIeC.ncel CoMractor Meil Addrocs CKy SUte/Z�p Phone <br />�I C` F � C` 9t��Rl� i� <br />SWte Gcense Number <br />ProposeA Usa of Builtling <br />� " • • i . ���. � \ �� . . <br />NOTE: WIRING IN NON-OWELIINdS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />C7TY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br />y cr. nAy thet I have read <br />�. At! pra✓isiens of laws a <br />�r sooc�6ed herein or nof. <br />orcancel the p�ovisions � <br />�ranro al constniclion. rl <br />w;m <br />1�7w <br />know fhe <br />O�N'O!k W <br />Cantrad Pnce of Work <br />Conlact Person (Plan Review) <br />to be true and <br />omploted <br />f 8U�f70RN t0 <br />er;d <br />FEE <br />j �!�- �{ � <br />