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From:Electro Serve 4�55G24948 10/1��2010 08:24 n157 P.002/002 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 <br />425-257-8810 - FAX 425•257-8857 — www.everettwa.org �� ✓ /�/ /� <br />Y <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�/� �� -"g <br />/vv7 Mc.c�rarlra hvc. E�e.r'eA` r,.�A �IS'ao3 <br />PROJECT ADDRESS <br /><y�7 <br />r sti�e `l3ecs.� I`I4l Mu�Qroric� i�cv� E�ve.icN- (.v/{' �J'k2e3 3aJ'34�t3 <br />OWner MailAddress City Stale/Zip Phonc <br />Tenanl MailAddress City State2ip ?hone <br /><y� � <br />U�rT�cQc.�n Se,rvicpo aUao laY� .`�re. NG �C-/�3 �el%vue. Lvl� 98tX�5 $8S-i9d'.S <br />Electrical <br />b V T TU5'� °11 �a � L <br />State License Number <br />Mail Adtlress <br />ItCSI�lA1t1AI RPrb1C�lGI1C2. <br />P�oposed Use ot Building <br />City <br />,/ �� � UD <br />Contract Pri;;e of Work <br />�A ��S�C,!) <br />Contact rson (Plan Review) <br />Description of Work 1� Be Done: ��plaC2 � �O.Yle�S <br />hOT[: WIRING IN NON-DWELLINGS IS REQUIRED TO FE[ <br />BE IN RACEWAYS, MC OR AC CABLE. � <br />�/ Sc�. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I horeby certily INat I havo rnad <br />correcf. All provisions of lews a <br />whethor speci�ed heroin or not. <br />viola(o or cancel (he pmvisions <br />porfoimance ol conslruction. L <br />woik !or which app�ication is m:, <br />296.200 WAC. <br />fhis <br />n <br />on�i know fhe samo to be (rve and <br />ype ol wo�lc wi/l be completed <br />; nofp resumo fo give authanty to <br />regu/ating consWclion or the <br />er ol this prope�fy lo perfomt the <br />� Contractors Law 18.27 RCW and <br />�O <br />� �l71) <br />� li,' L <br />Phone <br />