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10/15/2012 NON 15:45 FAX 425 980 6501 Sea -Copy <br />• • <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 — wvdw everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />612,10 —/a % <br />PROJECT ADDRESS <br />Z002/002 <br />(t-iv)cn...jl II-oI .D*FK- 3lVzA j=11110,rA-eIj51•I;r'_ PF)• 19/tJ,3 (Wo)(050 /a5 <br />Owner Mail Address City Slate/Zip Phone <br />15")-s _tt3ri•`:;t St.J Slc Jodi C:, tit K'.(I L-U) CLIr75,y-II te(83 <br />Tenant Mail Address City Slate/Zip Phone <br />NIIJ�cl Su-(idVaJI ;3051 E. V�Pd V-)criitrl ii 'lbU%1 005)`IV ('p.`.iW <br />Electrical Contractor Mail Address City State/Zip Phone <br />(I L.L71 t. sV:-)-) )IS(3 <br />Stale License Number <br />Proposed Use of Building <br />It, Ir S•:) z/ 85 <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Square Footage (If residential new construction, remodel or addition) <br />Description ofWorktoBeDune: i1�.1;.1Q t•�.-l�fr,jli(\ �ia.t; LlE �Irx,.t' I(�-I<'-V L.oy'Y� ___. <br />Qrl �IL.r'Y 1 �. .r. �{�G..✓ G11t�.rw. aUg , l—,a,,,.o cc..C(' 4-r,— . <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 0106 <br />I have road and examined this application and <br />ns of laws and ordinances governmg this type <br />?rein or not Tho oronlino o/ a oarmif does riot <br />is <br />IO-I5--1P.. <br />to be true andT <br />�mpleted <br />authority to <br />