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12/18/2067 14:40 4253778977 EOSCH ELECTRIC INC PAGE 01/01 <br />ELECTRIC/�L PERMIT APPLICATION <br />CITY O� EVER6TT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FFJ(425-257-8857 — www.everettwa.org � <br />APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM <br />gZs L'�i`�-�cce�. -- <br />PROJECT A�DRESS <br />��� ��is- is� s� rvt��.t+ uJrt-. ��ai ��5.303.//tI <br />Owno� Moit Addreea Cly etate2ip Phone <br />Tenant <br />M¢A Atldress <br />` �C{G{7�JG �YtL i�G �'� I06.'> <br />Conlroctor MailAtldre89 <br />�szr-iErqq 3 Q i <br />Stnte License Num�er <br />5��� <br />Proposed Usa of 6uildinp <br />Ooscnpilon ol Work to 6e pone: ��-��yl«-C <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />8E IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />City <br />City <br />Stute2ip phone <br />98�s8 �as:39z s��S� <br />StateZp Phone <br />Contrnd Prlce of Work <br />Contact Pereon (Plan Roviaw) <br />I heraby coili(y (hat I hove mad and exeminod thk epplication and know (he seme lo be true ond <br />coirecL AlI provisions ollpµy ond oidinancns �oveming fhis rype ol work will be comp/otod <br />whothar speGl/ed hereln or not iho Vronting of o permR tloes not presume to give nuthonty to <br />vlolxfo oi cancof fhe provisions of any o7ho� state or loca! law regu/aling consfniction or fhe <br />peA�rmanr.e of constmction. Thnt I um authonzad by the owne� o/this property to peAorm the <br />296 200 �WqC. appllcation is msdo and 1 comp/y witb tho Stafe Contreetors Lew 18.27 RCW and <br />FEE <br />�s � <br />E.O"1ii-IOS <br />