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O1/09/2007 14:55 <br />2067820431 <br />� <br />KEIdLYELECTRICINCNC <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />PAGE 03 <br />3200 CEDAR STREET, EVERETf, WA 98201 9�{J'� � <br />425-257-$610 - FAX 425-257-8857 — www.everetriva.org � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />���� �`► amm�k �c�1L <br />PROJECTADDRESS <br />Tenant <br />Eledricnl <br />Mail AddroGs <br />Mall P4dresc <br />A!aIl Atlaress <br />,;,.;..:. �C �MLyLZ���D� <br />StnM Licansa NumUer <br />. \L2'J1G�4,�(lL� <br />���."��� . Proposed usn uf ouilding <br />�� ]T • C <br />CNy <br />Ciry <br />i �h <br />City <br />C �,�p/-04 <br />� W3t ."IDc�I�� �� ��iLP <br />SlnlrlLlp P ofw <br />SlalofLip Phone <br />2C�P-'�82- <br />Q , vJl� .�c1b`1 ��- <br />StalefLip Phone <br />� <br />ConVsct Price ot Work <br />Conloct Person (Plan Reviow) <br />DescripUon of Work to Do Done: �Cl^�'�Z�.�� �(1 �+.�tt «� h ���`���� <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRE� TO <br />BE IN RACEWAYS, MC OR AC CADLE. <br />CITY OF EVERET7 LOCAL SALES TAX CODE IS 3106 <br />I heroDy wrbly thsf I bava rnnd end oxamined th%s op�?lict <br />mr�uct. All Uio��isrons OI i3W: 80C OlCIII1L'OCBS QJVO/711118 i <br />or <br />nnd 1 cvmplp <br />7o bo tai� and <br />omplefecl <br />� authenfv fo <br />ond <br />FEE <br />