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Apr. 4. 2014 4:49RI <br />N). 481 <br />P. 3 <br />ELECTRICAL PERMIT APPLCATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - vmv.everettvva.org <br />APPLICATIONS ARE ACCFPTFD FROM 8 AM TO 4 PM <br />PROJECT ADORCSS <br />Owner Masi Adoross Cary Slalerzip <br />Tenant <br />Contractor <br />Mall Address <br />G-SAr&Sf4950 (�(; <br />State Llcense Number <br />)AM9, <br />Proposed Use of Building <br />Doscdpbon of Work to Be Done <br />Address <br />NOTE WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have read and examined this aeolic <br />the <br />and <br />Ll <br />City <br />Cny <br />low rho <br />work w <br />State/Zip <br />q <br />Phono <br />Phone <br />Slulefl1p Phone <br />CCoon�tract Pnco of W_o-rR <br />' <br />tbTVvAJ '9410WA) <br />Contact Person (Plan Review) <br />to be true and <br />rmpleted <br />authority to <br />In or the <br />perform the <br />27 RCW dnd <br />FEE <br />000 �- I <br />EIgOq - O+� <br />