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Nov-24-09 11:53A P.Ol <br />^ �"'� <br />ELECTRICAL PE'RMIT APPLICATI4N <br />CITY OF EVERET7 PERMIT SERVICES <br />320U CEDAR STREE7, EVERETT, WA 98201 "� <br />425-257-8810 - FAX 425-2E�7-8857 — www.everettwa.org COI�' //�� �y <br />�/ <br />APPLICATIONS ARE ACCEI'TED FROM 8 AM TO 4 PM I/ �a 4�O f <br />� �� �l C.l��� r /)ti _ V�� <br />PROJECT ADDRESS �7 j 7 <br />J <br />� 9. J TH ��'Co �� � <br />� � �.z y � ti.�a�r- ��ti �-� f��o3 <br />Owner Mall Address Clty SlatbrJ.ip Phone <br />�__ .........."__ ._._._.__....�....._ .......�.._— <br />Tentinl b7ailAddress Cify SWte2ip .(�� Fhonr <br />�' �^ �q / <br />LL ��ii.lil:f L J iR. J.�`L'd�__ t�CiL /l V R7� .Lr/� .�5�' Z�(e/ _ <br />EIYf.irirBlC4nlraC�of h7atlAddfcS: Ci1y StnIx/Z�p FhOnc <br />���usf� � � t� <br />Steto I.iconse Number Cnntract Price of�1'Jnrk <br />S�' /l, <br />Pmposed Us� of 6uildinp <br />Cnntact Person (Pian RnWow) <br />Descriplinn n( Work to Oc Done: /� �%�(I�.(fj /7(� /�,��"_�.��_��({" /� _... <br />�i� <br />NOTE: WIRING IN NON�DWELLINGS IS REpUIRED TO <br />BE IN RACEWAYS. MC OR AC CABL�. <br />CIN OF [VERCN �OCAL SALES TAX CODE IS 3105 <br />1 havo reaAend exarttlned this <br />(h0 <br />to <br />rL•E ' _-- <br />�� �� <br />A,�� �`i I I - ( �-U <br />to <br />enJ <br />r <br />�- <br />� ipnalur« .. _' �/�-�4 _ ` <br />