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0 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />6707 Hardeson Rd <br />PROJECTADDRESS <br />Umbra Cuscinetti <br />OWnCt <br />Sam�. <br />Tenant <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />2916 1001h Sircet S'N <br />Mnil Address <br />Mail Address <br />Everelt �vA `•?f3� �'s <br />City Slatc2ip <br />Cily <br />Prctcrted Gicctric 13ox Ti12U ��alllc <br />Eleclrical Conlrector Mail AdAress ���Y <br />PREF[EI925PL <br />State License Number <br />htanutacturing R �,tachining <br />Proposed Uso of Building <br />SL�Ie2ip <br />11'A,98177 <br />Stala2ip <br />saa�,000.ao <br />Contracl Prico of Work <br />Phone <br />Phone <br />20G.•199.6G91 <br />Phone <br />Jelf Olsen, Pref��rred Electric <br />Contact Person (Plan Review) <br />Doscription o( Work to Be Done: Dislribulion, Lighling. Brinch Circuiis, Equipmcnl Conneclions, e�c. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRCD TO <br />8E IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hcreby certily fhat 1 have rcad and examined fhis applic. <br />rnrmcf. All oro�•isions o/ laws and ortlinances gavemmg.�� <br />or <br />lam <br />andl <br />3/1H113 <br />ow the same fo bc fn�e and <br />work will bc eomplefcd <br />esume fo give authonty fo <br />ing consl/uclion or thc <br />iis property to pedorm tho <br />acfors Law 18.27 RC W and <br />FEE <br />�4,554 00 <br />; 13D3- Iz� <br />