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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEREfT,WA 98201 <br /> 42�r257-8810 - FAX 42�257-8857—www.evereHwa.o�g <br /> APPLICATIONS ARE ACCEPTED FRO�8 MA TO 4 PM <br /> 1� � 5 Q t�c.1�.��c\�.c,r Q�-t_. <br /> PROJECT ADDRESS <br /> ���, -so�a.�,�. �a�- �1a5 � a°59 • 3 a3 <br /> OWf18f Mall Addrtb CNY StatB2iD PAmre <br /> Tenent nta�i nadress C�ry S��R'm P�a1e <br /> '��, an t�a.��r��o_l s5 13��` QL �I.�� (!� q �I(�8 <br /> �etriee�corMraaor r�nea noarese c�h� sro�en.ip ac�lc��y 6�nOC� <br /> ��'�,,��� �-1 '� �300 <br /> Stale License Number Contrad Price of Work <br /> SF�2 _�rn��- <br /> Vroposed Use of Buikling Contact Person (Plan Ra�bw) <br /> DesfYiptlOn o(WOAf!J 8C Done: �1 �1 0 N�'`�J .S .�5�'T 1J�� 1 1�Y <br /> NOTE: WIRING IN NON-OWELLINGS IS REQUIREO To FEE <br /> BE IN RAC�IVAYS, MC OR AC CABLE. <br /> �0� <br /> GfTY OF EVERETT LOCAL SALES TAX CODE IS J1QS <br /> f hereYY certify that J bave rsad and examMed Mis application and Mrowlhe same fo be trtre and <br /> corted M provisions o/faws and ordinances qov9minp fhis type ol work iwi7 De compfefed � I I 1 (r� , I� ` <br /> whetM�tpealied heraln or rrot fie BrarrOnp o�a pertmt doas nofP�esume ro gNa auMorlp�fn y �.i 0 � <br /> Wo/aAe w caneel fNeprvvisinns of any othersfat�or local!aw regu eNng cona�ction or fhe <br /> perfomrBnte of consfructlon. fiat!am authorized by the owner of tAispropeMy fo peAo�m the <br /> for whicA appfication is me0e erid!oompry w(th the Sfate Conhac(ors Caw te.27 RGYYand <br /> 0 WAC. <br /> ' - � c�laa I � � <br /> IgnsMe Date <br />