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425-25d-1666 CMHEATING <br />:01:38 p.m. 06-09-201n 3 ia <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAXA25-257-8857—www.everettwa.org <br />APPLICA710NS ARE A�CEPTED FROM 8 AM TO 4 PM <br />��f08 w MuK� I�leo B1� Ev �i82�3 <br />PROJECT ADDRE55 <br />Owner <br />h1a11 Addrose <br />Tonant M17allAddresa � <br />C m I�ea-�►'� lnc � 4I5 grtxdu�av <br />Electricai Contraclor Mall Address <br />cmN�AM���"1 br� <br />Stala Lfcense Number <br />Proposed Use af Buliding <br />Descrip�on of Work to Be Dane: <br />j G <br />NOTE: WIRING IN NON•DVVELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE �S 7105 <br />I heruby certily fhat 1 havo mad end oxamined fhis applic, <br />0 <br />ciry <br />Clty <br />b `-9 � 7 <br />C- r ya6-DbS <br />��> ��2 0� � I <br />SlateZp Phane <br />Stale2ip Phonc <br />Clry StalefLp <br />�-7� � <br />�,v <br />ConUact Price ol Work <br />and know the <br />✓ae or work w� <br />ID ��iOh�C` VJ_' I.'.� <br />Conlact Person (Plan Roview) <br />fo <br />Phane <br />FEE <br />✓ ���/ <br />and CI�LD�f O/_f <br />ro � � �Cr� <br />end <br />