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pFR-6-2G�6 �7:2SR FROt1:PR.OFESSIJtJAL ELECTP.I 360 4�5 1182 T0:425257E857 P.1 <br />� � <br />ELECTRICAL PERMIT APP� ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 (I _ 6�(7 % <br />425-257-8910 - FAX 425-257-3857 - ww�v.everettwa.org E o6� y�d,/ <br />dt� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />PROJECT ADDRESS <br />Ownar <br />Tanant <br />� Mall� Addrass <br />Mail Addrass <br />/ ' , ^ <br />Moll Addre�e <br />�ROFCCT.bKA1� <br />S121e Licenso Numbor <br />oe,�.� 0 � S <br />Proposotl Us0 Of OUIl01np <br />Descriptlon oi Work to Bo Dono: <br />City <br />CI�y <br />Cily <br />Slate2lp <br />SWIo/Zlp <br />M <br />%.J I�_3 � <br />Ppono <br />Phono <br />�JSlatn2l� Phone <br />� ���� , �' <br />CoNracl rico oF Work <br />Conlad Person (Plan Roviow) <br />NOTE: WIRING IN NON-DW ELLINGS IS RE�UIRED TO <br />DE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerlily (hnt I hovo road and axaminod thls npnlic� <br />io (0 6o truo and <br />completetl <br />�ve eulhorify fo <br />' f0/1 0� II70 <br />fo porlarm tho <br />18.27 R� W nnd <br />FEE <br />`�9 i� �" � ll/ <br />35 <br />iZ <br />