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I1!1�����.'�ill7 11:37 4257751350 :ACTNE EFI,INEEEIIJG FAGE 02/L�2 <br /> ELECTRICAL PERMIT APPLICATION <br /> `.. CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-OB57-www.everettwa.org <br /> APPUCATIONS ARE ACCEPTED FROM B AM TO A PM -bEBiT 6 CREDIT CAROS ARE NOT ACCEPTEb <br /> ��Cs4�1 f� I Q t�0�� <br /> PROJECT ADDRE3S <br /> (hmer h1n11AtltlM9! � <br /> c�� siererzro rnone <br /> iao W�,�,� ►.,� ._-��_��l��L1�J-� <br /> Tonan( Mall Adtlrea� ( Y:U—._ <br /> Cly SIeM21p �� <br /> � <br /> [IPCIdCAI OOnfIAC�OI MOA AAdfCss <br /> Clly 5 at07.lp �Q/�?� lywne <br /> l�}U <br /> SMM Lieoneo Number ��v�--� � <br /> Contract Pricr.ol Work <br /> � <br /> rroposcq uso or ouile�ng <br /> Contact Pereon (Plan Review) <br /> �osuiptlon o!Work to D�Uona: �E � �� ,� �.n�j— ���� <br /> �. -ti-�-t C+������.y <br /> C�.�1_��..T�l�� D�E��-1'� - <br /> NOTE: WIRING IN NON-DW[LL,INGS IS R[QUIRFD TO <br /> BE IN RACFWAYS, MC OR AC CABL[ FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS�105 <br /> I IromAy crr7Hy fAet f hnvo roatl nnd nxam/ned IhiS upplicaNpn nnd know Lhn same to he h�o and <br /> Wlr�her Apeclin�hom n oa not nTho p�rnnt/n�a n/A pu��f d BsYno1p rnsumn!!o qive�o�lhonfv fo <br /> vin/ah�orCunr.ol fhn rovisions u�nny afher s�a(o oNccnl iow n,qul,�Gnp consbucf/on u�fhA� <br /> r�of vh sh apP�s�(Inn�s m tlo�n d I rnm�/y�d pi��S(�ln ConlracPnrs Ln�8.�7 HCWand <br /> J96.:.00 WAC. <br /> 01 n �— ' � 1 <br /> b01� '—� <br /> `i <br /> I� � - �'�' 7 <br />