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�8/17/2U07 10:48 4254813162 PAGE 01/01 <br />i ` <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERFTT PERMI7 SERVICES g_ i� � 07 <br />3200 CEDAR STREET, EVF!;ETT, WA 98Z01 C 0 7 �8�� yv <br />425-257-8810 - FAX 425-257• B8i:7 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FHOM 8 AM TO 4 PM <br />621�I W• Maqhof�a A�e� �vere{f-,I/�A� <br />PROJECTADpRESS � <br />Ciberi� <br />Owner <br />Tenan� <br />Electrical Contractor <br />�F21 - <br />Mail Address <br />23$Z� 3�-�h A�e vJ <br />MallAddreas � <br />���+-�.I '� 981.�K <br />State License Number � � <br />���e� - <br />Proposed Use of Building <br />�escript�on of Work to Be Done� V V 1 r � <br />NOT[: WIRING IN NON-OWELLINGS IS RF_QUIRED TO <br />BE IN RAC[WAYS, MC OR AC CABLE. <br />CITV OF eVERETT LOCAL SALES TAX CO�E IS 3105 <br />I hemby certily fhat I hsve rtrad and ezamined tlris applire <br />conect. All orovisrons of laws and ordinanres ��nvP�,ln� �� <br />0 <br />�qz5� 330 65�'j <br />�2nd Dr. N�a. l+rl j� <br />qry Stste/Zlp <br />Cl�y StateZp <br />l3r i 21' W�4 AR <br />City <br />i8223 <br />Phone <br />Phone <br />Stele2ip Phone <br />����nn� <br />Contract Pnce of Work ' <br />7a�-- <br />Contact Person (Pian Review) <br />FEE <br />to be true and U1 U (��i <br />�mpleted E Q�' <br />� authority fo <br />{'1l'cuP c'a�l �Tay v�% �iz5 �?7$-399/ -For paym�n.�'• <br />,z <br />� <br />