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11/21/2021 10:17 1866761B496 ELECTRICIANS:TODAY PAGE B1/07 <br />� � <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� r�c�� �� <br />PR0.1EC� D R' ,, J <br />.. -- „ - . <br />Owner <br />., � <br />Mall Atldress <br />Mall Addre33 <br />, <br />City <br />City <br />ElecMcal Contri(ytor Maa Address C�ty <br />CG-�=� l.�c �i�FUJ � <br />State License Number <br />Proposetl Use ot Bullding <br />Desuiption oF Work to Be Done: <br />NOTE: WIRING IN NON-DWELIINGS IS REQUIRED TO <br />DE IN RACEWAYS, M1iC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br />I hereby cerfitv thaf 1 have read and examMed fnis applic <br />made <br />: I' <br />a"* c(aS-3�f�(-i"�a$� <br />Sleta2ip <br />State2lp <br />Pnone <br />Phone <br />'� �-S �O�% <br />Stala2ip u phone <br />3c�oo`� <br />GonttaG Price of WoAc <br />Contact Person (Pian Rev�ew) <br />�� � <br />�' ��SrZ.C71� <br />FEE <br />�d �<<<<—i3� <br />r C� � <br />� `�'z-s� �o� o a-���( <br />