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Dec 1610 11:42a Microsoft 2538635554 p•4 <br /> � �- <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CcDAR STREET, EVERE7T, WA96201 �Z IG—�O <br /> 425-257-8810 - FAX 425-257-8857—wrvw.everettwa.org L—I DI z-1�y <br /> APPLICATIONS ARE ACCEPTED FROIYI B AM TO A PM <br /> s��1 E�r�o.�e�r, u)A�, . �,►eae�',u,A .as zI� <br /> PROJECT ADDRESS <br /> Owner MallAdd�ass Ctry Staoe�Ltp Phone <br /> �vec2�¢eQ(1 C��a+n�� ��'�b1'c`i2� �+Q�l"� �5an..a a6 abbu�� <br /> T?nant MailAddress City SlateflJP Pho^.a <br /> ,�ETRo ELECr�.« �c.� i3sN� sE z�'� P[� `� 3g R�il- w�� �So� � <br /> Elechical ConUador MailAddress City SlatdLP Phone <br /> ME�rr�n�c �vZ. o a � 7ZD�� <br /> State License Number Contract Price of Work <br /> � C-,�z� S�t N <br /> Proposed Use of Building Contad Persan (Plen Review) <br /> DescripUon of Work to Be Done: _��U��'`�"1 ��'r� , �"�- �V �" —" 1-y�------- <br /> c�tJ r �r4�1 ksr5 a-v.rS� t�v 4b S <br /> NOTE: WfRING 1N IYON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CO�E IS 3505 <br /> 1 hereby cerHly thaf!have mad and ezamined Lhis eppllcatlort end larow the same M be hue nnd <br /> caract AA pravisions o/laws and aWnances govemztty tAts lype of work wiN be comP►ete,d <br /> whetherspecified herein orrroL The granting of a pemx�does notpresume to gtve et�thorrty to <br /> vidateorcanceffha Provlsionsofanyotherstateonc�eflewreguletinfsgcconsM�ctlonortha <br /> p��wh�lch ap�pl'M.�a�'o i s�e e�1 comp��fi eeS e rCoii adas�w 18.2T RC�na d <br /> 296.200 AG /�il � <br /> V <br /> -' � 5 – �� <br /> Si atuie Data <br />