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10/19/2�12 �8:47 2062847716 ASG PAGE 01/�1 <br />�r::, <br />ELECTRICAL PERMIT APPLICATION = <br />CITY OF EVERETf PERMIT SERVICES �''�� <br />., <br />3200 CEDAR STREET, EVERETT, WA 98201 19 —/ 2 <br />425-257-8810 - FAX 425-257-8857 — www.eyerettwa.org � D� <br />E l ZlO � �3.-(� . ., ;:; <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM _ <br />�'� I ZU I� C QQJ('�-ALL AV � ST� �OQ' <br />PROJECT ADDRESS � � <br />Ownef <br />Tenant <br />Mall �ddresa <br />ciry <br />hlall Addross Clty <br />15o5_WEs%za,ca /kv�. ,U, S�'�.520 <br />Elechital COnlractOf � Mail AdOre09 <br />2OI�? �� Y O i� C � <br />Stalo Licenso Nwnber ' <br />Proposed Use of Building • <br />Ciry <br />Q 820/ � <br />StatelZip <br />� - ;,�:;: <br />-3�y -.SS�S` <br />Phone" � �'�' <br />' i�=:s <br />;: i:'. <br />StatolZlp PhanN � .. ,; <br />x704/."' �:, ;�` <br />�� Rg�04 .TeYa-28Y-3553 .. ��' :: <br />StaM/'up bhone �. �' <br />�48q.oa <br />Contract Price of Woik :,,`�. <br />Contact Person (Plan Revlew) � <br />Descriptlon of Work to Bo Done: ,�F�Sila�C LO W VO�..S�� GCt���YSS �-M A-T N�W " <br />Doa�. or,., I sr Fc.00Q. �EA- 17_�7t� .� <br />NO1 E: WIRING IN NON-DWELLINGS IS RHQUIR[D TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EV[RETT LOCAL SALES TAX CODG IS 3105 <br />or <br />r=ax <br />ruad <br />2�4,-��'�-i?I� <br />rnis <br />0 <br />{%/jUL ARDNSp4J� ARDNSONuECUCiT7, COM <br />nnd <br />�i9• I <br />-. <br />FGE <br />r�c,J <br />��!l -,/ <br />to be trua and � I�-1 v'- � h �O <br />omple(ed <br />� authaity ta <br />�n or ihe - . <br />pedorm the <br />._'7PGWanA . '. . <br />