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MRY-27-2011 11:20 From:LNP <br />� <br />Q886159679 <br />To:14252578857 Pase:6�10 <br />� <br />ELECTRICAL pERMI� APPLICATiON <br />CITY OF E�ERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 5_ a7 �-- �� <br />425-257-8810 - FAX 428-257-6857 — www•everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />-1��5 E�er cce� �c �u�U� I Wi�' °I8'dOY <br />PROJECT ADDR�S <br />OWfler Mail AtldreGs <br />��j, �: �P �i�.� Sa�eS `�It�715 Eur�nree We <br />T00SOt Mail Atltlf85S <br />i�� �i lr. Ce_('_ �a3� �5E A,�e. S ib <br />FlectricalCantractor MailAtltlress <br />M�TI?UEL9R�1 of <br />State License Number <br />�: � S I�. <br />Pmposed Use of Buil ing <br />Descriplion of WoAc to Be Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES 7AX CODE IS 7105 <br />1 here6y certify fhat 1 hav,e nead and examined fhts applic <br />Ctty <br />CHy <br />City <br />5���- i <br />C//D S-l5� <br />State/Llp <br />StalelZip <br />Stale2ip <br />��t�a.�� <br />Canlrecl Price af Wark <br />Conlacl Person (Plan Review) <br />e to be hua and <br />completed <br />ie eumoriy ro <br />fion or the <br />�o perlorm the <br />H27 RCW and <br />Phone <br />i�o7 ' <br />Phone <br />�oN •5 <br />Phone <br />FEE <br />� � <br />1 l��- . q � <br />�\ o5-�5b <br />