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OSi2J/06 09:44 F.4.1' 206i62586d �PEST011'ER <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERM17 SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 G_ <br />42�257-8810 - FAX 425-257-8857 - www.everettwa.ory <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�t�ild �vERG2�EN G�.�y <br />PROJECTADDRE33 <br />U Ui <br />QJ 002 <br />a_ r�h <br />U�� <br />�/ _ <br />�L <br />C�C7� I� L S � Tiv�9-[ 4'�I-�loo-1fi2� <br />Owr1Or Mall Adtl�oas CIry StatelLlp Phono <br />�(.FAYZ�✓I iLE L L C <br />Tennnl MallAddmas Cly SteteflJp Phone <br />Lv,�s i awE2 co�w.v�icia�roNS �vsoo s�, un�_� a-vo��rr.• o.e a�xi suw-�z.n-ran <br />ElecfriplControCtnr Mailnddross City State2r0 Phone <br />AIE�OCI ��l G� <br />SWto Liconse Numbor <br />WI1I.ECJ£r5 fiYtA/�7I3i}M/f FG1a�IP�rEIJ'Y"' <br />Pmposad 'Jse ot tluildmg <br />S8'Ob_'� <br />Contract Price of Work <br />Conmct Person (Plan Reviow) <br />DdsaipllonofWorktoBo6ono: /4GY� /oa f�l+t (� SGKV iC.lE. FOrt C�E/-1rLw �nE <br />E Q•� I� n���tlT � �fr��sT'in.�G- cfee.c.. ro w rE� —.. <br />NOTE: WIRING IN NON-DWELLINGS IS RE4UIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EyEpErl' LOCAL SALES TA% CODE IS 3105 <br />