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( <br />� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVER�TT PERMIT SERVICES <br />RETT WA 98201 <br />3200 CEDAR STREET, EVE , <br />425•257$810 - FAX 425-257-88.ri7 - www.everettwa.org �`"� S'� Z <br />APPIJCATIONS ARE ACCEPTED fROM 8 AM TO 4 PM C'�� Z� ���� <br />�3 f t b o�� G-N <br />PROJECT ADDRESS <br />R._ _4va,,a �p� S�3r 1�%ar�w L-N Euu-�-�(-l- w-A 5'8.71)3 �'!as ;3• <br />OW11ef MeilAddmse Cily StetefLlp Phone <br />Tenant <br />t <br />Mdl Addraes <br />Controcto� MellAddreea <br />�=SMr'�s�J93o2k <br />Stete Lieenae Numb�f <br />Pfoposed Use of Building � <br />Ciy <br />Cily <br />Sldeap <br />l� Ma�o�r w�a 4sa�a <br />SISPoIZip <br />Yaa s�O <br />c trad Price of woAc <br />�n �ou� �� <br />��� �98%a�. <br />Contect Person (Plen RevNw) <br />Ptror�e <br />Phax <br />D��cliptlon o( WoAt to Be Done: l �io ( Q�-r— � �S r-+�A � � ��w ' �'t'� �' �'� '� <br />�<�.`d ��+...sv� pr..�a+.P �JD r.��au:� a��.+.s <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO <br />BH IN RqCEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SAIES TAX CODE IS 310b <br />1 here6vi ceRify thet J hav� roed and examined this applic <br />iow me seme to b9 tme and <br />work wil! be complohd <br />esump to give euMorlty M <br />Inp consmiction a Me <br />ris property to per/ortn the <br />actors Law 18.27 RCW and <br />. q_ <br />�E � O� <br />� I Z�Z -��� <br />l 'd 916ti'�N WdSl�ti il0i '6 '9aj <br />13�3 <br />