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10/24/2006 14:53 <br />42525846� ' <br />f <br />CHESTNUT ST <br />ELECTRICAL PERMST .�►PPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320D CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLIC.4TIpN5 ARE ACCEPTED FROM 8 AM TO 4 PM <br />f�T 1 <br />_�'"t ���2t�n�oa� �. C��� C I.�..�-..,� Sr�� <br />PROJECTA6DRES� �}c1c�u�a1R� �Ol� <br />Tenant <br />ElecUicel Conlractor <br />Mail Addrass <br />Mail Addruss <br />R7al Atldre59 <br />.�f���� o9�aM <br />State License Number <br />Proposed Use of 6uilding <br />Clry <br />City <br />City <br />Sfatv.lTp <br />SUIeIZip <br />PAGE 01/0i <br />� ��� <br />Ptpne <br />Ph�ne <br />QP� Yas�rr <br />Phons <br />� �'SD. va <br />Contract Price of Work <br />�C�n � ir�. t.J �.� <br />Contact Person (Plan Pr,view) <br />DescriptionofWorktoBeDone: 1�(.� �«g 1"LY�.v� �� RYL1�]_, <br />NOTE: WIRING IN NON-DWELIINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERET7 LOCAL SALE6 TAX COOE IS �105 <br />I here6y certi(y that 1 have reatl and examined this appliestion and <br />cor�ct. All pmvisions oflaws and ordinances vovernino this fyce <br />to bo rrue and <br />FEE <br />�5�3, o� <br />� � 1�P.�_� , �o /.�_ �1 � t� � G�,6/ (� /� % <br />