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Nov-23-11 02:04N <br />F.O1 <br />ELFCTRICAL PERMIi A�'P�.ICATION <br />CITY OF EVERETT P�RMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-2:i7-8857 — www.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�Z.ZZ �/l'!l�/ ( li� _ �f <br />PROJECT ADdRE55 / ZSp <br />2 Sp <br />�32�NM ,M�_{;, v, ? 2 u V�,pc�i�cin� �.Il . jFJe � - �-�-'`=7 <br />Ownur A7TII AJtlress City Slate2ip Phone <br />Tenunl <br />Mali AdAiesc <br />Z�`'�-�11uA� E! 1: t 3� rJ ti b��[- <br />ElecViCal Conirar,tof 61a11 AJd�ess <br />�i��4N1S/Y2�� <br />Slale LfcnnSe Numbcr <br />Pro{wsed Uso oi 8uilding <br />(;ily StatNZi�i �Z� f'Ihono <br />h=l/ 9F�ci �f9 ?/�v� <br />City � Stt��xrZip � Phone <br />1\ <br />/jL.UC�►'}�M�'h�Itkfil! S Fc�% <br />Conlr3ct Pdr.e of Work <br />Conlact Person (Plan Review) <br />Desr.rlptlUn o( Wnrk to Be Unno; _�l,Z[_.�IC PII ,1.(f'�r ��' Iiri �'• � ^ <br />—c�, <br />NO7E: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES 7AX CODE 19 3105 <br />ieud pnd exeminoA (his <br />iws end o�dinences gOv <br />"noL Tb�a nranfina of a <br />�+ons olany other slate orloca!!aw <br />m. 77ial 1 am aufliorized by fhe owr <br />Is m�do and I cmm�lv wlfh tho Staf� <br />know fHe same to be fruo and <br />o! wak wlll ba complefeA <br />p�nsurne to giva auf0onty fo <br />IAting co05froCflon o� fhe <br />f tUis proporty �o pad9 mi Ihe <br />�traclvrs Law 18.27 RCW and <br />F_� <br />FEE <br />so ° � <br />�II I I-1 �(, <br />