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MRY-23-2011 13:2B From:LNP <br />( <br />8686159679 To:14?52578857 Paee:5�6 <br />�LECTRICAL PERMIT ApPLICATION <br />VITY OF EVERETT PERMIT SERVIC�S <br />3200 CEDAR STREET, EVERETT, WA 98201 �- a"�i �-i f <br />425-257-8810 - FAX 425-257-8857 - vnvw.evereNwa.org Y,:��_ i 2 j <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />�13?O E�e.��reen c�,� Ever��i- W!� 9`�SF <br />PROJECT RDDR66S <br />Owner <br />MaU Address <br />Mail <br />Contr&ctor MatlAddres3 <br />�� <br />/� �'ROEL.�r o� <br />Slate License Number <br />�_,_/te hz�' <br />Proposed Use of 9uilding <br />Desrrip[ion of Wo�k �o Be Done: Z? 9' y. I, r <br />I �7� / <br />COV�In..�_ _ ,1�., l.-�. .��- :'���. ���. 1— <br />NOTE: 1NIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CA.BL� , <br />CIT!' OF EVERETT LOCAL SALES TAX C,ODE IS 9105 <br />I hemby certily thaf / have read and examined fhls annlic: <br />and <br />S- <br />City <br />W� <br />ciry <br />Slale2ip <br />Phone <br />�o�-► Ya�- �s-J7�I <br />Sla�p Phona <br />f.,� yEil �.53-3�1 t�5o, <br />City State/7Jp Phona <br />�9a9�o� <br />Convact Price oi Work <br />'{\'�.',' I i <br />�..CLSI.� 1�.y� �IKS <br />Contact Person (Pian Review) <br />e to be hua and <br />compfo(od <br />ie aulhonty to <br />ficn or fhe <br />FkE <br />a �� • "37 <br />�Il'v5-�z,3 <br />