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e <br />ELECT'RICAL 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 />3a?9 .S/sr s�-,�Er �st�i <br />PROJE T ADDRESS <br />JA,<(� ,�,?�r-V�i✓ -�9 .TlS�ST. Sv✓ Ei/�,PE7T L�.�9 ��Tv3 <br />Owner Mall Address Ciry StetalZip Phone <br />Tenant <br />Eledrical Contractor <br />Mall Address <br />Mell Atldress <br />��,�v��r99� c�r <br />Slate Licensa Number <br />Proposed Use of Building <br />CNy <br />Gry <br />StalefLlp <br />State/Zip <br />$/3.�D. <br />Contrdct Price of Work <br />Contad Person (Plan Raview) <br />Phone <br />Fhorw <br />Desaiptian of Work ta Be Done: � EpE.E� �� C/.Pl� U/Y.S /ill,fJ ,�EF./1Er�e TD ��A.Pi9�x� <br />�,yo ��,v�f�.� so :��r�-i ,9.iro,�.Cv,r,s <br />NOTE: VNRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. ,/� �� = <br />1" <br />CITY OF EVERETT LOCAL SALES TAl( CODE IS 3106 <br />�ead and exemined fhis applicatron and know the same to 6e We and <br />�ws and ordinances govemina this type of wcrk will be completed <br />r not. The a�anNna ol a uerm7t does not oresume to anre auNorftv to <br />and <br />�%.� _ / 7<3— <br />v <br />i00/100f� ONI .LN3 NIANN9 S668ES909C ]tld SZ�OT 800Z/iC/LO <br />