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FROM �GUARD[RN SECURITY r FRX N0. � <br />��. 10 2009 02:57FM P1 <br />ELECTRICAL PERMIT APPLlCATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �I -�y`��,,y, <br />425-257-8810 - FAX 425-257-8857 - www.evereltwa.org C-Q9 D9-{l=M <br />/ <br />APPLICATIONS ARE ACCEPTED Fk;:M 8 AM TO 4 PM <br />� g 13 �u �l��z �4v� <br />PROJECT ADDRESS <br />r <br />Lv <br />oW�o� <br />�� <br />Mail Pddress <br />Moil Addre69 <br />[leclrical Canlractor Mail Ad�re:c <br />l� ua i� A s.s a,�_�XS <br />Stalo Licenso Number <br />2Z_ �,oA�� <br />f'roposad Use ol Building <br />Ciy <br />crty <br />jS!� <br />t,��� w�� <br />SWte/Zlp <br />aotn -_yb3 <br />State2p <br />so . ��-�i,� 9��3�, <br />Pnona <br />Phone <br />Cily Stata2ip Phone <br />t� �. Da� � <br />Conkact Price of Work <br />i:1�12V �T E (�!� <br />ContaM Pereon (Plan Rev�ew) <br />Descnption ot Work to Bo Done: _�/��S/ A'/ r _ C� .i / V `/4M �(LAS •�� /[�'�¢J.� F% _, <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED 70 <br />BE IN RACEWAYS, MC OR AC CA�IE, <br />CITY OF EVERETT LpCAL SALES T/U( CODE IS 3105 <br />I hereGy certily Nrnt I have read and examinyd lhis application and 1'v�o�v tlre same to <br />conoct. rlll prnvisions o(lews ond cMinancos goveavnp this fype o! work �vill Ge con <br />whe:her specrfied herein or not. 7he grsnPng of a pemut does not Oresums to grve a <br />viol�;e or concel flrc nrovisions o/nnv ofherstate urlocnlla�v renulatina mnsrmr.rmn <br />I� <br />I <br />FEE � <br />and liU���� ' l.(_,�� <br />f0 <br />