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02/1412�08 16:4a 5095361709 <br />ELECTRIC CITY IhIC <br />ELECTRICAL P�RMIT APPLlCATION <br />�ITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-6857 — www.everettwa.org <br />1311d l�r�l�ve SC= <br />PRO.lECT ADDRESS � <br />PAGE 04/04 <br />o8oa-og3 <br />1,��\�Y.��,'S 131t o iafi� �v�v-��_ �,��. <br />Ovmer MallAdamcc Ciry StateJZip Phona <br />Tenant <br />Electrical Contraqor <br />Maii AddraSe <br />Mal Address <br />����Tcr q3o RS <br />SWte L�arn,e Numher � �"—' <br />�I�u�µ,o�N/5�-o•t - EsFsi�� �,� .. <br />Proposed Use of uildin8 <br />City <br />Slnte2ip Phone <br />6o9^6dG� G.C9,Q <br />/ooO.o <br />Contract Price of Work <br />�er�y l.�r,\�e �— ' <br />Contact Person (Plan RevieW) <br />rav-9qr- �ryo <br />Deccription of Work to Be Done: /� � c� C{C � t V C o S Nn <'4 � L l..V c� ( � — <br />��Q �k'E' '4'O CGS�� �2V 4"� FvCh{' OC �'�OV2 �c�r Co �tV' <br />.�9 _.__ <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />B[ W RACEWqYS, MC OR AC CABLE. <br />CITY OF EV�RETT LOCAL SAL[S TAX CODC IS 3105 <br />l hOreby C6Mily Ihat 1 have read nnd examinod fhi� ppplicntipn and <br />cn�md. A/l p�visinns of lawc and ordinances govommg tlus typo <br />whefhef spdCifiOd hort�in O�nof. 7ho granGny Of a pomrR Coac not <br />Vi0/af0 Of Caqpp/ f/f0 OroVrslnns nf anv n�hor dnle .�� i...�.,r r..,.....,... <br />�/Ylv <br />to Ae true anu <br />�mp/eted <br />i eufhoriry to <br />a�on or �ne <br />fo podorm lhe <br />18.27 KCVJ and <br />FEE . <br />�# 7z-so <br />�� � <br />, � <br />� - � �> <br />;; o= <br />