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Nov-06-09 09:42A <br />I <br />P.01 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-2:7-8857 — www.everattwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />1 z D i 3''�%7 <br />PROJECT ADDRESS <br />Owner <br />7zo-f <br />Malt Address <br />City <br />Tennnl Mail Address - Clly <br />slalazin Phone <br />Statelzip <br />Phone <br />%�fL <br />EI clrical Contractor Mail Address City StatelZIP Phone <br />-�L'9iY5� /yz 4/' -- <br />Slato License Number <br />F'i Ps <br />Proposed Use of Building <br />Description of Work to Be Done: <br />A6/;4-5'5 /!`-f <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE, <br />CITY OF EVCRET'T LOQAL SALES TAX CODE IS 3105 <br />1 hereby teddy trial I have toad and examined this soDflc <br />lC //- �...�p <br />_-- S10nature '���i <br />rY- <br />Contract Price of Work <br />Contact Portion (Plan Review) <br />and <br />in orme <br />27 RGW end <br />FEE <br />F"ti-o3 � <br />