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,Id1.28. 2011 2:11AV, <br />No.0092 P. 4 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - vwAv.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />l✓ lr —7 <br />_220$ 2Zr)d 5 <br />PROJECT ADDRESS <br />bDballcnn c Sa4a) E�. <br />Owner Mail Address Oily Sfaiedip Phone <br />Te n and Mail Address <br />Electrical Corfroctor ,i Mail Adrhe%s <br />gOIQ9 <br />State License Number <br />proposed Use of Building <br />Description of Work to Be Dome. I ' f <br />City 51afel/�p <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 IS 3105 <br />reed and examined this <br />wis and ordinances gov <br />got. The granting of a <br />and l comnly with the <br />and <br />13"I'►l <br />,a A21 State/Zip /'� Prone <br />a776q .00 <br />Contract Price of Work <br />Contact Person (Plan Review) <br />FEE <br />e to be true and <br />completed <br />re authority to <br />tion or the <br />o perform the <br />8.27 RCW and <br />/ <br />