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Jul 14 OG 12t2(7p <br />ELECTRICAL PERMIT APPLIGATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERE7T, WA 98201 <br />425-257-8810 - FAX 425-257•8857 — �wvw.evereriwa,org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />13� o s�> � sT Sr,c� <br />PROJECT ADDRESS <br />p.l <br />Ownor 1.'all Atltlroaf Ciry Sm�YLp y� PAone <br />_�'�cTN.on,,�riGr /3�0 �sr rr .sW ,�'� �"ze� 9��G <br />7enant h1aII qdCreaa Ciy Sub21p U�Phorq <br />7 <br />Fz;�L��_.S'�� 3Goi ,�U �I.Y ,�'U 9f �� 2�9 ���; i <br />Eloctrical ConVactor ntm� aam.:� City gbtyZlp Phone <br />��'�,�Nrs�Y 2 � l' <br />Stale License Number <br />�°�2rr�KC/A� <br />Prapoentl Uco of Dulldlnp ^ <br />�,Q �s <br />ConaaCl Price of Work <br />Conlad Peraon (Plan Revlew) <br />DeacripUon of Work to Be Done: O%�.Q F�,���c G(7" <br />NOTE: WIRING IN NON-DVVELIINGS IS RCOUIRED TO FLtc <br />U� IN HACEVUnY5, MC OR AC CABL[. �� Oo� <br />(:ITY OF EVEREIY LOCAL SALEs TA?( CODE IS 3105 <br />B rend and exernlnnd this <br />fews and ertlir,antes poH <br />or not TAo orsnlino af n <br />and kr,ow the <br />Yl7A OI w0/k w <br />�'��' - - �/ <br />to be tnie and <br />7mpla;eJ <br />� euthon;y t0 <br />end <br />