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Jul 02 07 12:53p <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.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� �m Y �T� �/` <br />PROJECT ADDRESS ' <br />�Ih►�� .Ltoo Et�'.�1L.��fr�q �9-TE'� ��..��'1�.i �G.2,S <br />Owner Man aieroe� <br />Gb . ataa2�P � Pnon• <br />7anant MallAdtlnaa Cly SqbZD Phone <br />_��L�4N��Eh ��s<<_ 3G6i fv �i ,c�ii ���, �5?'1�� <br />Mall Adtlrwss <br />Stnte License N� .nDs r' T� � <br />— .S �Q _ <br />Propoeea w� of BW�tlinp �"—' <br />cia <br />Stets2lP � Phon� <br />Controct Prlce of Work <br />Contact Psreon (Pian ReWew) <br />�- _ .. � <br />Iu. ' ' J i/ �N�?I r • ♦ <br />r � _ ; <br />NOTE: WIRING IN NON-DWELLINGS IS R64UIRED 70 <br />BE IN R,4CEWAYS, MC OR AC CABLE. <br />C17Y OF EVERETT LOCqI. SALES TAX C00619 3105 <br />! hareby cerUfv fhet J heve reed snd exemined thls epplla <br />whB�Br �clfletl horagl a O�WBOL�TAe y�rantYnB of a peimit <br />Wol6leoreenC9/the provlslonsolenyothersteteorfocel <br />perlortnence o/consfrucUon. met I em authonred by che <br />work lor whlch oppllC9lfon Is made and I Comply w1M fhe � <br />296.200 WAC. <br />� <br />J J, <br />iow the same to De true ond <br />wortc wlll b� crome/atear <br />L�u���, <br />FEE ;_ c:� <br />�r- �.0 . <br />"� ` <br />