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01/31/2012 08:17 3607947362 <br />! <br />TNTELECTRIC <br />�1 <br />PAGE 02/02 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERM17 SERVICES <br />3200 CEpAR STREET, EVERETT, WA 98201 �� 3 �- ��- <br />426-257-8810 - FAX 425-257-8857 - www.everettwa.org C` I 201 - I�� <br />APPLICATIONS ARE ACCEPTED FROM 8 AlA TO 4 PM <br />L�2 c1 i� ct;t vu e,s' �/-� ��t/e� �18"2l� � <br />PROJECT ADDRESS <br />h�ll 1 <br />Ovmer <br />Tenant <br />T_h; <br />,l�e�lcx.i� �: <br />CoNrector <br />MailAdam�s <br />M■II Address <br />Mell Addiess <br />I U I �L`G�o�U� <br />State License Numbor <br />Proposed Uce o ullaln9 <br />Desuiption of Work lo Be Done: <br />G� «c.�( <br />� <br />0 <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE, <br />CITY JF EVERETT LOCAL SALE$ TAX CODE IS 3706 <br />! heieby carti(y that I have read and examined thls Bpplic <br />conac[ All orovisions of laws and ordinenCes oovemino <br />City <br />City <br />�25. �17l, <br />�� �'�zo� <br />Stafe2p Pnone <br />SIaN2ip Phone <br />. __ _ 3 �o.7q 5'� <br />Ciry SUle2tp pnone <br />"( SD.ba <br />ContrACt Price of Work <br />T��Z he,�.�YsPte <br />Contact Penon (Plan Review) <br />HP�c <br />FEE <br />51�. oa <br />hi De frue and � <br />omplated <br />. authori(y t0 �0' � I �� <br />on Or�hB <br />