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RUG-13-2012 19:1T From: / To:257B857 Paee:l�l <br />` ` - <br />� <br />ELECTRICAL PERMIT APPLICATION <br />; CITY OF EYERETT PERMIT SERVICES <br />."' 3200 CEDAR STREET, EVERETT, WA 98201 2� �5,�/ Z <br />425-257-8810 - FAX 425-257-8857 -- www.everettwa.org b <br />APPUCATIONS ARE ACCEPTED FROM 8 AM 70 4 PM <br />a��o ����� <br />PROJECT ADDRESS <br />Owner <br />Ta�3��� 4� <br />�� <br />EleeUiwl ConlraCtor <br />Mau nddrose <br />Mall Addro4� <br />Mell AddtM1 <br />So�ul r P �q��D7 <br />State Licenso Numbor <br />S��r�L -� �a�-S <br />Proposed Use of Bu diny <br />Descriptlon ofWorklo 9e Oone: <br />Gly <br />�(J� r - ' <br />N07E: WIRING IN NON-DWBLLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CIiY OF EVeRETT LOCAL SALES TAX CODE IS 3105 <br />�� � <br />c� <br />�SJ �� <br />roed and �remined fhis <br />City <br />��l ?,Dg'Q� <br />SlatdZip � Li�— PAa�! <br />] <br />303 - 6Zt <br />SWte2ip Phme <br />^n��l 'I� n. 1i rr <br />City SlelelZip Phone <br />� �5D � <br />Conlract Price of Work <br />�Qn 5hcruz�.�l2�' <br />Contact Person (Plan Review) <br />� <br />know fhc samp � <br />or work wilr oe cc <br />rtrsurne /u pive <br />/ hl gp�p�SfnlC'f/0 <br />afreC(ors� w 18� <br />��� z. <br />y.2,S- 9 �I ) � a5'� � <br />, <br />0 <br />C.U�tO�x�' "�q,�1�.... <br />FEE <br />a„d �iao�-o59 <br />fo <br />end <br />