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JUN-05-2012 11:13 FRO�-AC EL�CTRIC <br />c <br />2538135817 � T-866 P.001/001 F-313 <br />�-���o �u��/�� <br />ELECTRICAIo. PERMIT APPLICATION <br />CITY OF EVER��TT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-5810 - FAX 425-257-8857 —www.everettWa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�tce.r-Y�--�.��5� t`-I � u 1 <br />���3 �E���.� `�-..._ E��,c,�A �t � ao� <br />PROJECT ADDRES U <br />�wner <br />Tenant <br />Mali Auoress <br />Mail AddfeSs <br />iv�sw r�tayr,b1 <br />Ciry <br />City <br />State/tip <br />S�ate2ip <br />�/o�/�. <br />C �6-b3 `� <br />Phona <br />P�one <br />fl�- ���► ,�. se�v ��szY,� � se�t w m-c�x�,- ��- �-� ttia Ken�4wt� ���� <br />Eleadcal Contractor Mail Aaqfe',6 c�ry srate�zip Phone <br />l4 b\ �'d5F �'S�TI <br />Sra[e Licanse Numper <br />�mi1�.Qii�A (�A�JI, <br />Proposetl Llse of Bu,lding <br />Square Foota9e (If residentlai new constn,ction, remoCei or addition) <br />Description of Work to Be pone� ��w U UL- 1���� <br />�����( � <br />Contrau Price of Wortc <br />Contact Person (Plan Review) <br />ir�. 1�-� va <br />t,���.r' m��2r. v <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIREp TO <br />6E IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVf_RETT LOCAL SO.LES TAX COpE IS �106 <br />I hereby ceRify that I have reatl and sxaminad rhis aooGc: <br />to 6e trus and <br />to <br />FEE <br />��a �� _�3y <br />�Pz-�'=� s� Lfi�, "Tii-1 � � i'P � <br />