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lo Pa�c3of3 2013-02-2516:42?91GMT1 �=ti69225591 From�.JoeGiseburt <br />ELECTRICAL PERMIT APP�.ICATION <br />f:ITY OF EVERETT PERDAIT SERVICES <br />3200 CEDAR STREET, GVERETT, WA 98201 <br />425-257-88'10 - FAX 425-257-8857 — www.everettwa.or9 a� a�- �3 <br />P.PPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C � 3oa �I� <br />) uoz 5r= r--�.��-��7-, ��ldl/ l�l��/ �',,;-� r3�� <br />PROJECT AD�RESS <br />Ov.aler MnilAdtlmss CIIY a�aimuV • ^-••- <br />ijVfVlyi��T,rJ11 �Ou'7 �4CTOrV IYC>2Sf Pr•1( /ll,��� [� ���7f' %'✓�'� 9��-��� <br />---T Muil AAdroes � ciry .,�oi�ian rn <br />lenant <br />l=i,<er�rr e� C �ecyri �Q i SVST'n� S/9G't� G/�'cil�r�e»> Sr Svi ,—e/lC-% S�ar�� <br />FIa��Conlrar.to� M�II A Jruse dty State/Zip Phonu <br />�l� _i %��'_"�jl �/.� <br />�VI=�C�' r�' 9n�-/Y� - <br />State Licensc Numbar <br />�r i7)✓riPrLi�c � <br />Proposetl Use of Hwltling <br />c...�...� r-....eo�A nr.n_cinrntinl new consiruc�ion. remotlel or atltlitlon) <br />��� < <br />ds L� a" <br />Coniract Pricc o( Work <br />�L¢Q.. �`7�� llr� <br />Contact Pereon (Plon Rc��ew) <br />-i��/ S"�/ /�l�//TC. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�U RED TO �« <br />OE IN RACGWAYS, MC ORAC CABLE. /�� �/C <br />�C � � <br />GITY OF EVERE7T LOCAL SALES TAX CODE IS J106 <br />��z�n ;i i C:�t's�(7 vr�f � '�,�—�1 > <br />�E�3��'l�J�'S <br />