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06i12/2009 09:24 4254885288 <br />ELECTRICAL PERMIT APPLICATIQN <br />CI7Y OF EVEP;ETT PERMIT SERVICES <br />3200 CEDAR S7RE�T, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-25�-8857 — www,evereriwa.org <br />APPLICATiONS AF2E ACCEPTED FROM e AM TO 4 PM <br />Z�1 �� W�M.02C fh/� <br />PROJECT ADDRE55 <br />�o � �� ,? 2a�� �a.� 9��� �- <br />PAGE 01/O1 <br />6, i�-o�i <br />F o 9a 6-oe5 <br />ow�,er Man nae�ss c�y Sinte/7.1p vna,c <br />Gl�SE�i�n�s Z9o& ��/�uo,��� f��" sPzoi '�Z; z� <br />TC00�t MsilAdtlrnss Gry S�ate/Zlp Phone <br />ZS3 <br />li�r �''�+--'u��tr�-5zr''��cx� a�iy N. iv�P,wy ���ar L:i7ltu. k'h- %(ol/ _ 3i�7--IIL•� <br />Glr.driCalContractor MniiAddress Ciry Slale2lp Phona <br />r'k+7� SG��iria•zvs <br />Stale License Number <br />Proposed Use ol8uiltliny <br />�ov, g� <br />Contracl Prlce of Work <br />1'1`�i ty.'F 2S�i-'i}�'111iH <br />ContaC, Person (Plan Review) <br />Description of Work to Be Oone: �% �`S/ ��«� � £K� s r�,,�G SaZ�tLl 1'4f <br />�[ S'?�K.- <br />NO7[: WIRING IN NON-DWELLINGS IS REQUIR�D TO <br />13[ IN RACEWAYS, MC OR AC CA�L6. <br />CITY OF EVERGTT LOCAL SALES TAX CODE 13 3705 <br />All <br />rr spi <br />ar c� <br />nnd knor+ fhe samc fo Ld We and <br />ype of worR »�ill bc compiefed <br />� not pmsmre to pive autNorlry fo <br />rogula(ing cxinslruction orthe <br />�or o/ this prt�peMy to p0Aom7 fhC <br />� Conf2cfars Law 78.27 RCW and <br />FEE <br />��� � ��_. <br />