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06/21/2005 07:37 3606598578 t�RTHERtJI.IGHT ELECT PaGE 01 <br />� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERM17 SERVICES 6_ ai-o5 <br />3200 CEDAR STREET, EVERETT, WA 987.01 �5��/z3 <br />425-757-8810 - FAX425-257•8657—maw.everettwa.org G <br />APPLICATIONS Af?:.4CCEPTED FROM 8 AM TO 4 PM - DEBtT 8 CREDR CARDS ARE NOT ACCEPTED <br />�Gd � ����,./.� r.�/� � <br />PRO,�ECT ADDRESS <br />� �,,; [tn�orer^is�� <br />(hvner tdail arces City <br />renant <br />ConlraUor <br />State Licanoa Num6or <br />Proposed Use o} Building <br />Oeecription of Work to Be Done. <br />Mall AOdree6 <br />i �A' <br />���r <br />1� ��I954 <br />NOTE. tiVIRIIJ6 IN NON-pWELLINOS IS REQUIRED TO <br />9F IN iiACEVdAV$. 67C OR AC CABLL. <br />Clb <br />Clry <br />CITY OF EVERETi LOCAL SALES TAX CODE IS �106 <br />I ne�o0v tertily thaf I have reed and �+amine� I�i�s pppUw6on antl know h <br />carrect. All provisrons al laws and adinanG¢s gOvaming this Npe of uqrk <br />wnefner soe��ed nerom or not 7he pianGnO � a permit dces nof presun <br />u mede <br />3rotelDp <br />Stata2b <br />sunZp <br />CccVact P^co of Work <br />Cont.id Person (Plen Raview) <br />fa De fn�e an0 <br />;TpICtBtl <br />� autnonq'ro <br />)n or fhe <br />pei!o�m the <br />17 RCN'enC <br />�� <br />Phone <br />Phane <br />anon� <br />FEE i <br />I <br />�.�J�%�% �i _7 <br />