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03/28/2005 15:16 253•627-6691 CLOVER CREEK ELECTRC PAGE 01/02 <br />� 'fi <br />E�.�CTRICAL PERMIT APPLICATION <br />ClTY OF EVERETT PE�MIT SFRVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />42&257-8810 - FAX 425-257-8857 —www.everetriva.org <br />ID <br />A�DRESS <br />Tenant <br />APPLICAT10N5 ARE ACCEPT�� FROM 8 AM TO 4 PM <br />Mnll <br />G�ty <br />� ��c� 9B�-a 3 <br />� <br />:�1 a- G�l� I D�IDp <br />�¢�p�pp Phme <br />��aJ�(�r��k.�le�� l�fl.�C�.•e�S� --r. � � �.� �R�o� �53��;�t�18 <br />EledricalContrador MallAddress Gry 5tatrJZip P�^� <br />C�c�v - ` 2�1'7� �.-!a - <br />State Llcense Num6er <br />R�� 1 <br />ProposEd Use of Building <br />Descr(pUon of Work lo De Done: <br />4"i.in n/�' U(d,�LC:�-� <br />� 1�4'1'�' �4.Y�iC� Un��-c� ��2•` <br />¢�� s�.C�s <br />N07E: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC C/a6LE. <br />CIri OP EVERETT LOCAL SALEB TAX CODE IS 3106 <br />� ( 9��00 <br />Cantract Pnee o( Work <br />�'-(�eJ�e L�r��. <br />Contact Pereon (Plan Roview) <br />S�fV � C� <br />r <br />0 <br />:7 <br />FEE <br />��'J <br />��i��j�/J� <br />