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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 />� -?O r� - `��" �Q' r,X . S. E <br />PROJECT ADDRESS <br />� <br />Owner <br />� <br />Tenanl <br />� <br />[lodrir.nl <br />Mail <br />Mall <br />Mall Address <br />o L pT 3 79 /✓D <br />Stale Ucanso Numbcr <br />l_�A-7�tiY�4..__.�.t-�'M._ l�__11..-.�.�Ck'�J <br />L <br />Proposi�J Uso ol BuilAiny <br />�-/3 �/�' <br />cur <br />s���eizi� <br />Stalc?.ip <br />y �a� -�o <br />C—/� �—/a/ <br />Phone <br />Phone <br />�CJ ��. �� —___ __ _. <br />Contract Prir;e ol Work <br />Con�dr'on I�'IanRe��---�— <br />Descrip�ion of Work lo Oe Uuni� _ � L� Qt�re. �� '�%�� �,�_� � . <br />—1—�-�`-..� ---- ---- — <br />NOT[ WIRING IN NON-pW[LLINGS IS R[QUIRED TO <br />BE IN RACEWAYS, MC OR AC CADLE <br />CITY OF EVERETT LOCAI SALES TAX CODF IS J105 <br />I IIPICI1y CC11iI)' iIIflI I Ilii1 O �end r�nd exermned this app6cntion nnd 4.now fhe sarne fo be 6ue end <br />co�recf All (1101'ISIOIIS O� IA4Y5 8/1A OIIIIfIflI1CP5 (JOVBRIIll9 IIIIS I)'(1P O( WUIi� N'�II I/9 COlfl(/1AiPO <br />H�hefhr� spncdred herein oi nol. The yrenfing of e p�3rnut Uoes nul /i�esume fo yire aufhonty to <br />violnfe oi cancel fhe �rrn�isions of eny ofher sfefe or locnl Inw rc�pulnling consVuchon or fhe <br />pe�fonm�nce ol oons�n�cfion rhnf 1 ern eufhorized b� fhn owne� ot fhis pruparty In perfonn fl�e <br />u�o�h hV 15IIICII A�)/JI/Cf1IlOI71S lllli(IO 9/1(I I COI71�)I)' WIiII IIIP S(f7iB COOi/tICI015 LfllS' iA PI RCW fll�[i <br />7NC 7UU 11'AC. <br />� i <br />J �i <br />_�C.�"q. h.�aj.,�CP_� � %d <br />. .'_ ._ _ �__ '_--_'___'—_ -- <br />��r.�:l�c f 19 <br />P[E <br />vlWi —/�� <br />