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09/O1/2011 THU 1�:06 FAX 425 988 6501 Sea_Salea_Copy <br />_. <br />._.._.____._._.__._..._.__....._._..:--'___...._._____......,..._ .._..—"�._....__._..-'—_.�....._..--.___._--__,_._.....�.-.__._. <br />_ � �, �_ <br />�ooz/ooz <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•everetlwa.org p_�,��� <br />/ <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C��Q� �.GYYJ � <br />�c.� `�VV LiU'�P'l3«�' �Ylcx.il ��v�:.L•-=I <br />PROJECT ADDRESS <br />Ownef <br />� 3 L'U��. <br />Mail Address <br />(c i `.1 S iJ � <br />Mail Address <br />Cily <br />..-:7- O� �) (',I.o ) L�"}�l . <:�.�.c� •�.. <br />SlalelZip Phone <br />bJl'� `Tc�"fy;tJ C3��o�l�t�t �bb� <br />SIa1e21p Phono <br />/llI �r �1 �(� a v�h �.�.. ��U�1 L. UalL:,rl j:�l I�c,r`i'Pi>ri , U.,y'1 �)bU`_i7 l.�l��� �k'� - fc5�c.) <br />ElectricalContraClof MailAddress ' Cily StetelZip Phone <br />4,1��__r.��v ��-�; i33 <br />Stato Licanse Number <br />`�ti �I�i 3, y�'� <br />Contracl Price of Work <br />�`� 1 G2 �- � t�h�>`� <br />Proposed Use of Building Contacl Person (Plan Review) <br />Description of Work lo De �one; �-�r'LQ-G � r1'L�'r�,��{ �v" '��t� ��UK--. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />FEE <br />� <br />,eg-°°9 <br />