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10/25/2010 11:39 14254070578 VALLEY ELECTRIC PAGE 02/02 <br />� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREl"T, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — wauw•everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO d PM <br />,�n��� '�d nJ.�; �r:r-! cr �l/J <br />PROJECT ADDRESS <br />Owner <br />-- 3uvs s:�n1� l�i_ ��� -LV�:� i W�4 el Kar�3 L <br />Moll Address <br />Clty <br />Tenanl Maii qtldress ���Y <br />�/�`l �--L-C�� �l-L C I� lC-. � I GO tM f_��.I � L, <br />Elecirical Cont etor Mall Address C(�L,� Clty <br />r�4�.K W�l �� <br />v r��.� � e. ��E ��,� � <br />Statc License Num6er � <br />Propused Use of Building <br />DeScnption oF Work to 8e Done�. <br />1��� ao>=1 C � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CI7Y OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I here6y certify that 1 heve read and eraminod this eppllc� <br />ti�J�, /J r� <br />State2lp Phona <br />Slale2lp Phone <br />rT� W A `� 8 a-c� ��-1 a S- 33 z <br />Stata2lp Phone <br />1�Z� <br />� � crD . �Z.� <br />Coniract Price of Work <br />Contact Person (Plan Raview) <br />��. �J lT rl.� f� �V ��� <br />t0 <br />/D/J �/I�U <br />and <br />fo <br />FEE;{ <br />`J� ��i �tii� <br />�b,o-��v <br />—l.v�n,ci��i.c,�L. ( p I �,..y <br />