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0005/009 <br />11/06/2009 PRI 8141 PAX 360 005 0287 MILNB ELECTRIC <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257.8810 - FAX 425.257.8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�t,C1..3 G ✓. C',9 :(A-C7 <br />PROJECT ADDRESS <br />%fYt %3Jc WI-16 / C7/y7"Ati <br />City <br />SlalelZip Phone <br />Owner Mail Addmss <br />1J-, /N �7 SlalelZip Phone <br />Tenant Mal: Address City <br />'C ST 5� A'lGyt✓2l1�' 124 <br />Electrical Contractor Man Address tC / , City <br />StatelZlp Phone <br />T if.0 / V N Contract Price 6f Work <br />Stale License Number <br />Proposed Use of Building <br />Contact Person (Plan Review) <br />Description of Work to Be Done: <br />_L)vCLys..2�_ %i�2 /2c'LyC l�7L-►� St�2•(/�7Z f /2oiuk <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />u,af f n.,,.n mnd and examined this aaalici <br />0 be true and <br />Au Provisions of laws anu u.urnnnyoo a �_•••� a • • - •,.•- -, ._ <br />rspecified herein or not. The granting o a permit does not presume fo give authority o <br />or cancel lho Provisions of any other state or local law regu sling construction or the <br />ants or construction. The <br />I am aufhomed hynnecfnfw rnn hfcloiaplaw 1 B 27�RCW and <br />0 <br />