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HUG-1R-2011 11�50 ELECTRI—CITY <br />� <br />425 672 6799 �.01/0] <br />ELECTRICAI_ PERIlAIT APP'LI�AiION <br />CITY OF EVEI�ETi RERM!"� S�RVICES <br />3200 C�:DAR STF:E�T, E�_'�Iik�7T,1FrA 98201 <br />425-257-8810 - FAX 42t�-257-e&ri7 —w!v.w.everettwa.org <br />APPLICATIONS A!2E ACCEPTED FI20M 8 AM TO 4 PM <br />ISIO �"Qi2-�' I�4a11 lti1a..� ��-4a.C. <br />PROJECTADDRESS <br />Fa,,i..�L- W.q.11 <br />� �lS-y <br />C IID��O� <br />'� Owner MallAddress City Sn�a2ip Phono <br />Pe�{� Sw.� IA� yLc- <br />� ovdw. <br />390� 221'` PG SC ��I�.II W� �'►bti21 7ij • 6014 <br />Tenanl MailAddress City ����D �0^0 <br />C�^L� <br />�lQc-�v�-G�,1 I�c 23o,.g S'6" A��*- W %NO�n�lal�'rCr✓..4 w✓,-qSoY2 6�2-�"Ki't <br />Elec"fical Contractor Mail nddress Ciry Statc2ip Phone <br />C l, GCT 1� I la (i�A <br />State License Number <br />�)Rv.�.,� D��Lua. <br />Proposed Use of Building <br />Description of Work m Be Dona: <br />NOTE: WIRING IN NON•DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE, <br />CITY OF EVERETT LOCAL 3ALE3 TAX CODE IS 3105 <br />' ���2.'�0— <br />Contrad Price of VYork <br />!!�iG�cal�, lY��co�a �d <br />Con�et Person (Plan Review) <br />�1� <br />FEE <br />�,llu�� 10 9 <br />l.�,,, ��.�•!- c.�,.t � h�� '�/ Z� c 9 Z- G-�9-� <br />TOTAL P.01 <br />