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Dec-22-09 12:32P <br />P.01 <br />ELECTRICAL PERMIT APPLICATION <br />c <br />IT 1 OF EVEREI"T PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425•::57-8857 — wvwv.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />3 G .Z 3 h / IL <br />PROJCCT ADDRESS <br />MlLlt; h I///n�41i <br />OA.... Mail Address <br />City StatetZip 7.2 Phone <br />Mail Address City - - <br />StatelZip <br />Electrical Cod,%).a/ <br />ntractor Mail Address - <br />City slalelZip Phone <br />Stale Licdnso Number - <br />ProposUsa of wilding <br />Description of Work to Be Duna <br />4fr-kKI:L --- <br />NOTE; WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE 18 3105 <br />o�Q o Contract Price of Worr <br />k <br />Contact Person (Plan Reviewl <br />y cenny nral 1 have read and examinod phis application and Ifr'OW (Ire some to be (rue and <br />. All provisions or laws and ore/nenees goveming this type of work will be completed <br />spocif ed herein or tool. Thy grenting of a pernod doesnot �it some to glva Completed <br />to <br />dr cancal the �rovisfons of an other stela or loc»l r»w , <br />FEE — <br />111:27 RCWand / 2 ale 7!7------ //' <br />/' <br />