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OCT/11/2011/TUE 09:41 Ahf FPI S�attle >>AX No,4252909500 P.002 <br />C <br />ELECTRICAL PERMIT APPLICA710N <br />CI7Y OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APFLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�W <br />! � /��ve.re-h� ./�lall 1,✓a�. .�,,,' , l� <br />PROJECT ADDRESS <br />Tenant <br />ElecUicai <br />Mall Address <br />Mall Address <br />Maii Address <br />1= R,�p,�,�na�.� _ <br />State License Number <br />LA �^'1 Wi �-/'L� <br />Proposed Usa of Building <br />DeSCription of Work to Be Done: <br />NGTE: WIRING IN NON•DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CIN OF EVERETT LOCAL SALES TnX CODE IS 3105 <br />I herebvi certi/v that I have read and examined !his applia <br />� <br />� <br />and <br />City <br />Clty <br />Ciry <br />StatelZip <br />StatelZip <br />j�j—// — // <br />C-1/In—��1� <br />Phone <br />Phone <br />State?Jp Phone <br />�1 �i90, DD <br />Contracl Price of Work <br />ila� /kd�„ <br />Contact Person ( an Revievq <br />� !o be 7ue and <br />completed <br />ie aulhaity ta <br />tioc or fhe <br />o perfurm the <br />8.27 RC W and <br />FEE <br />Cl��o-o�� <br />