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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•25�-8870 - FAX 425-257-8857—�.everot�va.org <br /> APPLICA710NS ARE ACCEPTED FRnM 8 AM TO 4 PM lJ —II �J �j' <br /> G� 3�� `°`"�v <br /> J�1��.�-� S ,Qu-c_. � <br /> PROJECT ADDRESS <br /> ����m�1��,��, �a �. �a5 � a5s � aa �a <br /> Owner MaI1�tlOross Clly gi���2iP Pnp�e <br /> ITenant l.lalln�dress Cdy SiateZP I <br /> PhDnc <br /> 1 <br /> �,�.n r�.� ,� �U o I 5 � 3�h ��.. `�2a.�t (.�.�.� � F�I 4��, <br /> i Efedncal Corlracicr 1dai1 AAdreaS <br /> Cdy StJtCPip �at, �V ¢,��n�'C� <br /> I �C�-r�,r��c� C�`1.�.1 � (� �� �—� <br /> State L�oense Number <br /> I � Contrna Pnce of Work <br /> Proposed USe of Buildlqp � �'�pu�� <br /> Ccntact Person (Pian Rev�ew) <br /> Descnption of Wo�k�o Be Donr. u �, � <br /> "1" <br /> NOTE WIRING IN NON-OWELUNGS IS R[QUIR[D TO <br /> aE IN RAC[WAYS, MC OR AC CABLE. �� <br /> CITV OF EVERETT LOCAL SALES TqX COOE IS�105 �D oO <br /> !horoDy csmly lhof�have road and oxamined Mis applrcn6on and know fbe seme l0 6e tiue and <br /> whefher peG ed here/nror not�fic g anfl n�o a pem�if doas no7p rnsume�ro pi e authon y to �] <br /> vrolnfe or cnnce!Me prov�srons o!BnY oMer sta(e orlp�,7!faw rcpu/ayng con5frucfron or the ���� 1 � /� <br /> o��Iorfl�nc�h app!ca if on�s m Oc ond r eomply w/thlne Srare Co ira�crors Ca�iB 27 RCW ard v�� � <br /> o vJAC <br /> s�gnaturc T� I I ( � <br /> Dalc <br />