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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES q`q'o v <br />3200 CEDAR STREET, EVFRETT, WA 98201 <br />425-257-8810 - FAX425.257-M57—www.everetlwa.arg Cagey-o59 <br />APPLICATIONS ARE ACCEPTED FROM a AM TO 4 PM - DEBIT tk CREDIT CARDS ARE NOT ACCEPTED <br />,.Z5g--iq�', 2/ Sr" r Ucl'C-1 . tocf <br />PROJECT ADDRESS 1 <br />L,j-jCj A,Dj�yt:t-�1 425/-j---7qt6 PI Sf, c-Vvwj-, 6UA �av3 <br />Owner Mait AnCrcss City Statemp Prone <br />Tenant Mall Address City Statemp MGM <br />Eledriral Contractor Mail Addreu City Sieleam Phone, La5- <br />4b4 -)q�G� <br />9Co3[� �3 r <br />11 Lloense Nu(m' ber Contract Price of Work <br />IL✓ l - <br />ro osed Me of bulling rr'' /I n 1 Contw Person (Pun ReW,ew) <br />Ih:srnpMm of''W�o�r�k/to Be Done: aj)-( �. 11� "L- X= � %�S� CI ti - 0 L / cS ft'L �Z � <br />—Ll1 1 1. - <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />8E IN RACEWAYS, MC OR AC CARt E <br />CITY OF EV eRETT LOCAL SALES TAX CODE IS 3105 ' I <br />I herrhy ce" that I hhv* rend and nxamir*d thrs apphcnfMn and knu ' , came to be !me and <br />conrW All prolVons oflaws and ndirances governingttlis type of W. i . I he completed <br />whpMor specNWd herein or not. The Nrannng of o perm does nut nrn�,..,w to gNa authority to <br />Wlolato or rangy� thes�prhuwisrons of nny other state or local law rego nsgperognpsstrucWon or the t <br />Wm* � which qp 1plp waimn ale made end 1 �plyVr h the Staafe C�rO' t& Law 18.%7 RCIN and <br />?9R WA <br />Srprghue ( 1 at0 <br />