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10/04/2011 15:45 253--565-5199 FEDEX OFFICE 5506 PAGE 03 <br />C. /'../7�iQri%�/S ��n ��l%� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PE�tMIT SERVICES <br />3200 CEbAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX42r257-8857—www.everettwa.org <br />APPI.ICATIONS �1RE ACCEPTED FROM 8 AAA TO 4 PM <br />.� <br />��•� _.._., <br />-. ... <br />/o �5—li <br />�/�/o--�� 3 <br />MallAddmsa U � �Hy <br />�a.3� i s�"Au� S, �ib5 <br />E12CUical Cofltraetor Man nddress <br />N��rnoeG9�10� <br />State Liwnse Numt�er <br />�e � ; I <br />Proposed Use of Building <br />�escriptlon of Work to Be Done: <br />NOTE: WIRING IN NON-OWELLINGS kS REQUIRED 70 <br />BE IN RACkINAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALF TAX CODE 1S 3106 <br />1 heve rsed <br />.� <br />StaldZq <br />SIaOdZip <br />Phone <br />3dy-5 <br />Pnone <br />'�3��.y� <br />Contract Price of Work <br />�vS� Si.N. w.o v�5 <br />Cwdact Person (Plen Review) <br />[T %'1 <br />FEE <br />�53.'Tv <br />a- Y-// a,o�3 <br />o� �ii► <br />