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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425 257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />'7Ityev(Ace_ 76 <br />1�-i imti&. -t Sr, Eyeiedi" <br />Wf- <br />%02-0j <br />Owner <br />Mail Address City <br />stelemp <br />Phone <br /><1 i Wv C44(z 76 <br />1515 f att, S4 S£ EvevP-- <br />WA <br />g49_-Lo8 <br />Tenant <br />Mail Address City <br />Stale2ip <br />Phone <br />Energy Management Services 15008 351h Ave. W. kC Lynnwood WA 98087 425.741-3526 <br />Electrical Contractor Mail Address <br />ENERGMS913136 <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done: ASHC <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />City <br />Stalaf7Jp Phone <br />Contract Price of Work <br />Dave Davis (425) 778-2795 <br />Contact Person (Plan Review) <br />FEE <br />5 <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have read and examined this application and know the same to be true and O <br />correct. All provisions of laws and ordinances governing this type of work will be completed —Q 3� <br />whether specified harem or nof. The greoLing or a paired does not -resume to give authority to <br />