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Sep-30-11 09:37A P.O1 <br />� �, <br />ELECTRICAL Pl�RMIT APPLICATION <br />CITY OF EVERETI' PERMIT SERVICES <br />3200 CEpAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLlCqT10NS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��a� <br />� G• ,►1 �� ,� Vli��t T �2J __ <br />PROJECT ADDRESS <br />Tenant <br />Mail Adtlrese <br />M17ail Addross <br />City <br />Cify <br />� ��0�-�l <br />G110 °I�ad� <br />Slate/Zip <br />Phona <br />Phone <br />.���,�(�� fi� S 3Cr � / �C�/ �ll J�� , (��Y ��S =S'i ��Cc/ <br />Elechical Contractor Man Addrase Ciry S�ate2ip phona <br />�C--,�ui.�'�iy.21 � /�'� � C��ka �•�,�.s <br />State License Number <br />Proposed U o of 8u� y <br />Desr,riptiun of Work to Bo Uone: <br />N01'E: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT �OCAL SALES TAX CODE IS 3105 <br />reed enn nx�vnlned fhis aNplrcafion and I aow the <br />iws and ordinaqCes vovemnlp thfs typo o( work w <br />�� <br />3a l <br />Uale <br />nn.�/l �../�1f-?��indc oia�2 <br />ConUact Price of Work <br />Contact Perlon (Plan Roview) <br />FEE � <br />� 7s � <br />Cn6JIL�, � l`��(/d/!. <br />t0 be Uuo Atld <br />�� <br />anA <br />�I��C�c� <br />, ����, 200 <br />