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A25-752-1G66 CMHEATING � <br />�3�A9.17pm. 07-02-201a 3l3 <br />ELECTRIC�L PERMIT APPLICATIC)N <br />CITY OF Ei/ERETT PERMIT SERVICES <br />3200 CEDAR S'rREET, EVERETT, WA 98201 <br />A25-257-8810 - FAX 425•257-BB57 — wnw�.evereth��a.org <br />% --O 3 � � �f <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />C 1 �{D7 -�a.� <br />I oo� I R`�°' s� �/ �'8 b'� � <br />PROJECT ADDRESS <br />Ownar \{ Mull AJdm.� <br />Tenant Mall Addre�. <br />Clty <br />Clly <br />ElcctrlcalConUaclor � . MallAddmso � Clly <br />c m I-k�M-�1�"1"i br� <br />SL�to Lican,o Number <br />Prapo,etl Uso af BUIlding <br />�U <br />3'�5� <br />Stalo2lp <br />Slale/Zip <br />Phonc <br />Phonc <br />SIalcRlp Phone <br />25Q '� <br />Coniroct Pdcu ol Work <br />Contact Porson (Plan Roviow) <br />NOTE: WIRiNG IN NON-DINELLINGS IS REQUIRED TO <br />6E IN RACEWl1Y5, MC OR AC CABLE . <br />CITY OF FVERET! LOCAI. 5l1LES TAX CODE IS 9'105 <br />1 hareby codi/y lhot I/ravo iuod and oxaminoJ fhis appNcnflnn ar <br />cormcf. �ll provlslons o/Inws ond ordinancos r�ovominf7 fhls typ <br />whafhor spacihod hamin orno�, Tho D�nfing oIa ponnit duos m <br />viclafoarcancolfho !�iovislonso/anyothorslatoor/ocallawroc <br />podarmonco olconstrucfion. P�at I am oulhonz❑d by fhn ownoi <br />work lor which applicafion is mado onJ I comply wifh O�o Sfa(a C <br />296.200 WiIC. <br />ta <br />FEE �� —� <br />5� <br />ancl �1�(\��/l�(/ <br />U v .; . <br />fo <br />