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( <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET. EVERETT, WA 98201 <br />425-257-8810 - FAX 425�257-BB57 — �w�nN•evetettwa.org <br />APPI,ICATU1Mg A.RE ACCEPTED FROM 8 AM 70 4 PM <br />Hert� E�u,�p-m�vi' Re�t�1 , <br />PROJECT /1DDRESS <br />He�; <br />Owner <br />Tenant <br />� 35�6 M�L��i l�. ����r WH <br />Mail Addraas <br />Maii Address <br />Se��us �u <br />Ciry <br />ci,y <br />%�^A'''G. S.�?la� <br />EleGhicsl CV�lmttor Meu Address ��ry <br />EN�R�-ras 9�3 P� 6 <br />Stata LicenSe Number ' <br />Froposed Use of Building <br />D05cription of W ork [o �a Donc; <br />NOTE: WIFINGINNON-DWELLINGSISR[QUIRED70 <br />BE IN RACEWAYS, �MC OR AC CABLE � <br />CITY OF F V ERETT LOCAL SALLS TAX CODE IS 3105 <br />1 hereby conily (lral 1 hsve resd �nd exsmined lhis aPAlic <br />r5 <br />SWe/up <br />StatUZip <br /><4�sj�z—pi6� <br />98� / <br />rn�na <br />StatclZ�p �nQ <br />�d �oo�� � <br />Contracl Prica ot W ork <br />Sa�n NA�m <br />Contaa Person (Fian Revlew) <br />and know the same tn be tmn arrd <br />ypf OI �vork �4ill be complefed <br />�� not presunre ro gi��x aurhoriry ro <br />�egula�ing constructron or tl;e <br />Br o/ IliisPrapert� ta padnrm the <br />� Contrac ors La� 7B D RCLI' ontl <br />N <br />FEE <br />� I DD� - D ��i <br />