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�u �'s ��� �E�erei� <br />� <br />ELECTR�CAL P�RMIT APPLiCAi'ION <br />CITY OF EVERETT PERMIT SERVICES 8`�_07 <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8657 - www.everettwa.org �=d 70$-0 � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />7202 Hvergreen Way, Evcrett, WA 9£1203-5661 <br />PROJECT ADDRESS <br />Dou�'s �n fivereL-t 7202 Everr.reen Wav 6verett [dA 98203 425-355-7902 <br />Ownel MallAddress City State2ip Phone <br />Tenant <br />Mail F�ddress <br />City <br />Slate2ip <br />Phone <br />Baron TelecommunicaCions 1204 Railruad Ave, Ste 101 µ����»oh�m WA 9A225 76(1-774-5(1R2 <br />Electrical Conlractor Ma�l ACdress Cily � Slate2ip Phone <br />,li�itn�a��*�nann <br />State License Number <br />Aato Ae.lerchtp <br />Proposed Use o( Building <br />Descnption ot Work to Be Done: Wire Phone and Data i.aUle <br />NOTE: 'NIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certi(y that 1 have read <br />correct. All provisions o(laws s <br />whefher speci(ed herein or not. <br />violafe orcancel the provisrons <br />peAonnance o�cunstruchon. T <br />K�ork for �v,hicb applicalion is me <br />296.ZODWAC. , <br />; �, 1�iQ OD <br />Contrect Pnce of Work <br />Marc Drost <br />Contact Person (Plan Review) <br />fhis application and know tlie same to be frue and <br />goveming this fype o/ work �vill be completed <br />o/a permd does not presmme fo give authonty tc <br />3te or local law regulating consfruclion or the <br />izttd by the owner ol this property to parlo�m fhe <br />�v wi(h the State Contracfors Law 18.27 RCW ar,d <br />FEE <br />�i.rD . o-o <br />�c�0 � -� L�' <br />