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U�;01/2009 I1:55 Pr1\ 4?SJ75i830 V:1R\IiLL GI.GC7'RIC <br />ELECTRICAL PERMIT APPLICATI�N <br />CI'�Y OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />So6 /�1,,,�, s o � S7- L v T'� �f <br />PROJECT ADDRESS <br />Cdj OOE/002 <br />3� a yf�( �i�7 <br />�,�ai_ - o i�� C,�,Jzi aa gox (3��1 M�2vsv,'L Lti/,� �8'276 <br />Owner MallAddresa Clry State/7Jp Phon9 <br />Tenanf <br />Mall Address <br />City <br />cy:m:.�n <br />Phone <br />Nzs" 33S '76oA <br />�l� i.l� � r r�—n� T� L{p�la S2 1 L Lk Si��l{;�tf� l Ia 9�3LSi3 <br />Electncal ContraCtor Mall Addross Gity State(IJp Phone <br />va2���4�r6 <br />State Liconse Number <br />i�zF . �' i S � R <br />Proposod Use of 8 II Ing <br />Descrlption of Work lo Bo Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT I.00AL SALES TAX CODE IS 3105 <br />1 herebY certily that ! have road and exam/ned fhfs applicatlon end know the <br />corroct. A/l provisfons o(laws and ord/nances govemmg thls type of worir w; <br />..�_.�----- ,.,_��_ , <br />$� 3�9�" on <br />Conlracl Price of Work <br />Contact Person (Plan Review) <br />9 fo 6e frue and <br />completed <br />re authonty io <br />fion or the <br />8 27 RCW cnd <br />FEE <br />1 i/ � '� <br />�� <br />