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11/02/`[�06 08:58 4253778977 HOSCH ELECTRIC INC PAGE 01/01 <br />ELECTRICAL PERMIT APPLICATION <br />CITY O� EVERETT PERMlT SERVICES <br />320� CEDAR STREET, EVEIiE7T, WA 98201 <br />425-257-8610 - FAX 42u-2G7-8857 — wwx�.everettwa.org <br />��b��--��v <br />APPLICATIpNS ARE ACCEPTED FROM 8 AM T� 4 PM - DEBIT & CREDiT CARDS ARE NOT ACCEPTED <br />PROJECT ADDRESS <br />�N'f� 2'!IS 15"' St' ���rc�'�', wk. �B�DI y�•3o3: II21 <br />Own^.r Mall Address City SlateZp Plwne <br />Tenant <br />�Sch �L�c-fY�� _Z <br />f+lail Adclress <br />EIOCtriCel ConUaCtOr Mail Address <br />�11� SC I-I F.X..R q.3C� T <br />B1ate LicerL,e Number ' <br />MF�. <br />Proposed Usc of Building <br />Ocsaiplion of Work to Bu Done: <br />!0 <br />NOTG: WIRING IN NON-pWCLLINGS IS FiEQUIRED TO <br />BE IN RACCWAYS, MC OR AC Cqs��. <br />CI:Y OF EVERE'IT LOGAL SAL[S TAX CODE IS 3105 <br />ary <br />Slate2p <br />�teve�s, w�}. g825.�„ �25.3�t <br />Cily Slala?Jp <br />Contrad Pdce of Work <br />Conlact Persan (P(an Reviow) <br />I hereby cerA�/y fhaf / h�ve rend and oxanuned ihls applicnfion and know NC s�ma ttl be hue and <br />r.onnM. All provisia�s ollmvs ond adlnnnccs c,�wcrning lhis fyptl of work wlll be cu�np/ufw! <br />whaiher specifred huain or nof. 71�o gronNnq o/a pr3rmit doss not presume ro givo au0�aity (u <br />vio/afe or c�ncro! tlmy 1p�roWsions ofuny oL�er st. fo or Jocn! Inw mgulvGng conSWction ar the <br />�'o���� h a plica o»�! �m f de anU 1 ca�m�y Hdlh fhc Sfero CorifivaforsnLnKY10 27r W A�d <br />296.20U INAC. <br />iI'� <br />FEE <br />' (oll -0/D <br />Phone <br />l�S <br />Fhone <br />