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02/27/2007 05:35 42548852B8 <br />NUb-16—U4��MK!'IU:4'L'�Ht1' •tVh.K� '�YtKf117' SrFCVl�hS <br />PAGE 01/01 <br />NAX NU. '4'L!' iA��flStS!1-�Kt'1LitG2 tit!P� ;�hti;;rf: <br />E�,�CTRICAL PERMIT APPLICATION <br />CITY OF E�/ERETT PERMIT SERVICES <br />32�70 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br />APPI.ICA'fIONS ARE ACCEpTED FROM 9 AM TO 4 PM - DEBff & CREDIT CARDS ARF NOT ACCEPTED <br />�p�v0`1_��Q C-R�tv�� l,vA-`�j Sl,�, I� c l� <br />PROJEC7 ADORESS <br />O�rner <br />1 'St�D�tP.J�K lJ�/!7 z/ <br />�dsll Addrex <br />;� � L y� � 5����7 <br />Cily StaV:2ip Phone <br />Con�tnnA-,� ���,�2 (�3 c� 9����� tua� S� � ��a.�s-r �,� 9�2� <br />Tenant Ma11 Addrns� C�ry State2p hc e <br />i�c=r�w� W/� 8&d•&1� li.iti� <br />�'�► �l�ir1 �vic.Es Ui�'L�4 h1^..�n,ta� Kw`f ►� �1�5 �'�� 4as-��� Sz�Ey <br />ElectncalConlrctor MOilAdd�c�s C�iy stato2tp Phonc <br />�'`1 S�Si(/�32D� �-25•O�Q� <br />SLatc l.lccnse Numbcr <br />Prcposrtl Us� of 9udding <br />�escripGon of Work to Bo qan�: ��SAfc.L set�c✓LtY^� 5�/Si��'til <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC o(� AC CABLE. <br />CITY OF EVEi2E7'f LpCA� SALES TAX COOE IS 31tl5 <br />/ Hu� <br />C. <br />maac <br />thiS <br />fo <br />1ZOQ.OU <br />Ccnttact PriCe of Work <br />%7[O ,�'yY�s ZCY�-3S&'-�2��lL <br />Contact Person (Plan Reviow) ^ <br />and <br />to <br />and <br />FEE <br />-) � -ol- I �; O <br />uam �� 1 � <br />v <br />