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12-02�:010 10:02 F.�L a2595J8flJa Ecersreen Securlt;� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETi, WA 98201 <br />425-257-8810 - FAX 425257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED fROM e AM TO 4 PM <br />�9���vu� �}ve. — <br />PROJECTADDRE S <br />�iQT3 C01rh�1,. <br />OWnef � MallAddress <br />� �{l�/�Q i�V — <br />.Cl�...-. i <br />Tenant ' MailAddmss <br />�1/�6R� s�{3(,�.�ITN gl(S <br />Eledncal Contractor M1tall Address <br />G V �G.�J�.I� I' `''�� <br />State Licenee Number <br />l��,y.�1�/,—/J��G�� ' l"�I� <br />Propose8 Use of Buildmg <br />Descriplion oi Work to 6e Done: ✓ <br />NOTE: WIRING IN NON-DWELLINGS IS RGQUIRED TO <br />�E IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERE7T LOCAL SALES TA% COOE IS J105 <br />I heroGy co�tily fhaf 1 have read nnd exomined this applict <br />correcf. All provlsions ollaws and orrlinancas gun:min� � <br />u•hether sneci(Cd herein o� noL Tht� 4ranfinq ol a nermrt <br />r,i�y <br />Clry <br />State2ip �7(+� <br />4� <br />I�juo2 <br />Phone <br />Clry l Stam2ip Phone <br />C n�cl Pr--Y–�• �'' — <br />J��7 <br />Contad Person (Plan oviPw) <br />ro 6e tn�e and <br />a'ufhonfy fo <br />n or fhe <br />peAom�fhe <br />27 RC W and <br />FE[ <br />�5-�oa <br />� <br />' � � <br />�S 1 v �v ,��,� -, � , <br />