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FROM :EXCELLENCE ELECTRIC,LLC I FAX NO. :2067442749 Apr. 21 2009 12:19PM PI <br />ELECTRICAL PERMIT APF L ICATION <br />CITY OF EVERETT PERMIT SER1 ICES <br />3200 CEDAR STREET, FVERETT, WA 982 <br />425-257.8810 - FAX 425-257-8857 — www.oven hvg.org <br />AP' JCATIONS ARE ACCEPTED FROM 8 AM TO PM <br />PROJECTADDRESS <br />Gecq)� L� tncin - ly!,o <br />�'�5T <br />=��'l <br />` ecu <br />Owner Mall nt <br />—2 <br />aL) cL4of 1 <br />rl <br />citye <br />3bb/L4 r7• <br />prone <br />Tenant Mail Address City <br />Eleotrinml Contractor Mall Admen City <br />eht021p Mono <br />P: J <br />btelerzip phone <br />xc� DD5 131101&9 rJ� <br />Stab License Number Cur lid Prim of Work <br />�\rc�Q- <br />Ilropn&WU000f Budding V �— ror ct Person (Plan Review) <br />/ /' `` �'\r 1 ( \ <br />Description of Work to Be Done: l -, CCy �- �� Cam.- 8o( -. ( o \ � \ A Q <br />NOTE, WIRING IN NON -DWELLINGS IS REQUIRED TO <br />DE IN RACEWAYS, MC OR AC CABLE, <br />CITY OF EVERETT LOCAL SALES TAX CUDL 18 3105 <br />I notable codify that I have nod end oramiand this applicoeon and brow tho some to be tnu at <br />conacf All provisions of/a" and ordinances governing this typo of work will be romp/eted <br />whether apecMod heroln or not no gyanting ore permit does not ppnresums ro prve eufhodry to <br />violate or cancel the Provia/ono of env other idafe or local law re0u! Imo consbuction or rho <br />ate <br />FEE <br />EcgDy-D9`I <br />