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Nov 28 11 11:16a Cedar Grove Electric Inc 4254270899 P•� <br />� �. . <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 � <br />425-257-8810 - FAX425-257-8857—www.evereriwa.org j I /�Q <br />�, <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />.i� <br />� 2 <br />�� �✓z✓�� �.�e,.� tJA y St.: i�Z -L <br />PROJECT ADDRESS <br />C, r � �--� g�-( <br />OK•ner Maii Atldress City St�lz2ip �hone <br />,S�j vv! L <br />�J��G,lii i,;3RicHw, f-i5 Jla="L P�e.z(T �=A 4�f�} <br />Tenanl f.UilAddress Cf1y S1a�elLip ?none <br />L�L\h✓ LS✓U.�t� .. � _ _ ., n.. . ....�...i.ii _ �.�d O1q.i:.57 N'7-�j-G2� <br />M3il Atldres9 <br />L�1 tA,� (TC� �i5 S 1�! � <br />State License NumSer <br />D� '�','�c, l� � � �ti r(Y MJ,9T�iJe✓5 <br />Proposed Us of Building <br />Citv <br />S�ato2lp <br />� � ���5 tJv <br />Conlrac[ Price of Work <br />Contact Person (Plan Reviex�) <br />Descriplion o( Work lo Be Dcne: !L `✓�L�� ����-� ✓'�'�, { ���� i <br />NOTE: W IRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />?hone <br />��� % <br />� , ( I �e �"�1C�Il" !� i.G� �i �,�.� <br />