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Jul 06 04 12:54p Marj.a <br />13601,658-3348 p.l <br />ELECi'RICAL PERMIT APPLICATION <br />CiTY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9d201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />4332 �uC.K��Q Jk►l� <br />PROJEGT ADDRESS <br />O��� '�' �'11 Ti� `/�/�Ae�,v I_IZZS �TY� C�� w �'710EII �A�K IOU� <br />('� 25) 7+�2- 0402'� <br />Tenant <br />Electnwl Contrector <br />Mail Address <br />Mait Aadress <br />CiscoErootON <br />State License Number <br />5�n�l�e -�a�i � I� l�well-�rt�,. <br />Propo�se Usr�Building <br />C%y <br />Stale2ip <br />Slale/Zip <br />Plane <br />Pnone <br />�Z7 355'00 <br />Contrad Pricc o( Work <br />�Paul Ni �ac1e m u� <br />Cont�d Persoo (Plan Review) <br />Desuiption �.f Work to Be Done� � Z ��P `�'� �� �'E J�� C�tJ us �'" <br />r- r�Ew ����E w�r��a�. <br />NOTE' WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J�OS <br />C ��lc7-bi� <br />FEE <br />�� � <br />