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ELECTRICAL �'ERN'lIT APPLI <br />rITY OF EVERETT PERMIT SERVIC ����,���� <br />320!1 CEDAR STREET, EVERETT, V��A 98201 / r-. � <br />425-257-8810 - FAX 425-257-8857 — www.everetlwa.org %-'�' 0 r���„v <br />� <br />APPLICATIONS AFtE ACCEPTED FROM 8 AM TO 4 <br />lYO� SE E�EQt`�'1' Yv1A�� i�ARx�Ay � I <br />PROJECT ADDRESS <br />Owter <br />Mail Address <br />City <br />:.. � � k��,,l� <br />...... <br />V n:�••....... <br />Phone <br />Cv 2An� �voz SaEVBR�Tf MALL PKWY �v�a�rr �,.�A 46'ac�� � <br />Tenan; MailAddress City State/Zip Phone <br />��c' ST"C.JS /330 Ar �OR�'<T ST I�cr[L�n�6Ndrvl l.vA �7�.7�5 3�0-�71-� 6S <br />EleclriCal Contractof Mail Address Ci�y Stale2y� ?hr.ne <br />sl6N5P195yLW <br />State License Number <br />RiTq IL <br />Proposed Use of Builoing <br />l�`2�0 -° <br />Contract Price of Work <br />�%lK� L�N��R/NK _ <br />Comact Person (Plan Review) <br />Description of Work to Be Done: �NST,d L L oNC I.t7TC 12/ OR wA t t S/C � <br />NOTE: WIRING IN NON•DW[LLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR.4C CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />read and examined fhis applicafion and know fhe <br />��.•o �„r� �n6nancaa anvr.mmo fhis tvoe ot wolk w� <br />s to be true and <br />cnmpleted <br />io authonty to <br />lion or fhe <br />'o perfoim fhe <br />'t727 RC W and <br />FEE � <br />5 0� <br />�S <br />� v �o�j-C�56 <br />