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SERViC� ELECTRiC Fa..3fi0-568-91B? Nov 17 20td tt.dlam P00�/OC1 <br /> � ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERM(T SERVICES <br /> 3200 CEDAR S7TZCE-7, EVERETT, WA 9RZ07 <br /> 425•2�7 t3810 • FAX 425 257-8857- www.everrttwa oR� <br /> 3003 W Casino Road °��"�5'd� <br /> i 94th Street SW& 29U1 Avenue W ±��5-0�- `� <br /> PROJECT ADDRESS <br /> Galen iumer <br /> i 3oemg Shared Sorvices Group, PO Box 3707 Seattle, WA 98124 425-7_10-1547 <br /> I C`Mlef Matl AtlNCSs CMy Siph!?p Phnne <br /> Lloemg South Everett S5 Parking Lot, 94th St. SW & 19th Avenue W. Everett, WA <br /> ITenairt � �Aaii Mamsa C�ty Siaterllp Pnone <br /> � <br /> Sorvice Electric Co , Inc. P.O. f3ox 1489 5nohomish, WA 98291 360-568-69G6 <br /> IEJedncEl Contractor MaJ AiAteSs Ciry SImrIL�p Phore <br /> SERVIEC5fi4RU o2sosa <br /> li Stnle Lkense N�imhar(rt�wred) � City ot EoereU Bu,iness License NumbM(rcywrt:tl) i <br /> NIA 158,2U0.00 � <br /> � c�o�o�.w usc or ta��m�rm Cor,trad Pnrc ot work 36U-568-6966 !/2O1 <br /> � N/A <br /> ISharon Cart1 - sha�onLsecoinc.com <br /> square Footnpe pl rz:s�aenUa'new cnrstr.,ciion, rMn,oaei or odd��un) Conmd ParaonlCon:acl NumbedEmad <br /> i <br /> I Nvmber of devims(If low vo��age) <br /> i <br /> joesuivuon oi wor��o r�� oone _�'arlcing Lot Illumination _ <br /> r-F[E —O- I <br /> , CITY OF FVERETT IOCAI SALFS TAX COUE IS 31U5 f G ��P �?O <br /> � (l � <br /> !huroby cortrry fAat 1 hove read and aa�amined Nvs epp/icnbon arrd know fh=sanrc fu 6o huo and __ _ _ .__J <br /> cormr.t. All prt�wsians d I�ws end ordinances yaven�ing fhis type ul wurk wm be conrpleted ---- --•— <br /> whr.IhrN SpeClfiotl hercin ur nnt TIre gr�nhnp o/a pe�m�t dues no(p�osume fo pivic euf�onty fo PERM(�# 111 <br /> violafe or cnncel Bra u�ov�sions o(Bny uMer stato or local laN�repuloNng consfrudiar o�tl�e ^ I � I I —� � G� <br /> pedomrnnr.o o�consfiichon fint�nm aufnon7oJ by Nre awnei u�Bus property to pr.Au�m fne t � <br /> work fo�wllich eppGcshnn is mado and I comp�y w�tli fhe Stato Conl�ectors Lnw 10 27 RGW and <br /> � 298100 WAC � `-- <br /> I ����- `a�a' <br /> „-,�-,� <br /> _SignSiurtm4__.__' _ .'__.- OTte__._. .'_ _ .__ <br /> � Please call tor Credit Card' Phone Listod above <br /> L.. �MS�Ff1CSCM:t'N _-__"—_— . '—_�_' ____' <br />