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08/OS/2008 08:T9 FAS 4258289581 RELIAAT ELECI7tIC <br />� <br />�ooi <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �� <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 —www•everettwa.ory <br />APPLICATIONS ARE ACCEP�D FROM 8 AM TO 4 PM <br />� <br />`��.,� y-.,v,�/.vai �� <br />PROJECT AC�"•RESS <br />Ovmer <br />Tenenl <br />Eleclrical Coniractor <br />Mali AAtlrecs <br />MaVI Atlerecc <br />Ma�i Address � <br />,�i/.a = *-�c� — <br />State License Number <br />Prpposed Use o� duiWing <br />Ciry <br />Cky <br />Phon� <br />SlatcZp ^� Phone <br />O� <br />� <br />7��. <br />Co had Price o} WOfk <br />Contad Person (Plan Revi¢w) <br />Cescription of Work to Be Oone: �„�{�� �-��� ���e/ �� ����� <br />% <br />NOTE� VNRING IN NON•DWELLINGS IS REQUIRED TO <br />BE IN RACEW�IYS, MC OR AC CAeLE. <br />Ci�`! CF EVERETT LOCAL SALES TAX CODE IS 5106 <br />I��er�by eertify thef 1 have read and eramined fhis applicafion end know the sams lo <br />correa. an prowNioo�ol�a ��a��dri ro���^��o o%E oerr�it aoesY�t pmsume fo qlv,�e E <br />Phone <br />FEE <br />and C�� �b' O \ � <br />fo <br />antl <br />