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ELEGTRICAL PERMIT APPLICATION <br />CITY OF EVERETT P�RMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 � G' -/G 'U� <br />425-257-8810 - FAX 425-257-8857 - www.everetlwa.org L���� _d�L <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />$402 Evergaeen Way <br />PROJECT ADDRESS <br />Aman's IIi LLC 8402 Ever�reen Wav Everett WA 9E208 <br />O�vnef Mail Address Ciry S�ate/Zip Phene <br />t`hPvrnn Gas Statinn 8402 �vetgreen Way - <br />Tenant Mail Address Ciry Stafe/Zip Phone <br />Insignia $j.gn In PO i30X 2849 Renton WA 98Q56 425-917-2109 <br />Elecirical Conlractor Mail Address Ciry State2�p Phone <br />iNSIGS[05515 <br />State License Number <br />Chevron Gas Station Steven ThomsntL <br />Proposed Use of Building Contact <br />S500.OQ <br />Contract Price of Work <br />Person (Plan Review) <br />Description of Work to Be Done: nnOk f1PW C9ROOV�gP t0 XZ •t[ng r+*��+ita <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX COUE IS 3105 <br />1 herebvi certily that 1 have read <br />corre��. All provisions o(laws a <br />whetner speci(ed herein or not. <br />violate orcancel the provisions <br />nerformanceo(consWction. T <br />and <br />this applicafion and know fhe <br />❑nvemma this tvoe of work w, <br />FEE <br />(_ (��SIo -D`� <br />e to 6e hue and <br />completed <br />ve authority to <br />tion or the <br />lo perform the <br />i 827 RC W and <br />