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SERVICE ELECTRIC Fax:360-568-9283 Sep 3 201d OR:30am P001/001 <br /> ELECTRICAL PERMIT APPLICATIJN <br /> CITY OF EVERETT PERMlT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-2578g57 —www.overettwa.orq q . 3 --,� <br /> E �yo9-6�3 <br /> E510 10th Avenue W., Everr.,t, VJA 9820A <br /> IPROJECTADDRESS <br /> City of Everett 3200 Cedar Strcot, Everen,WA 96201 425-257-8810 <br /> I Ov:ner ptau Addre;s City stete/ZiV Phone <br /> City Re=ervoir�E 8510 1Qth Avenue W., Everett, WA�Jo2�k! <br /> Tenant t,sa�i nddre�. r�N Sr.,te�ZiP Pnc� <br /> Service ElecVic Co., Inc. P.O. E3ox 1489, Snohomish, WA 98291 3G0-56&-6566 Ext#201 <br /> [Iettljtal Contracfer tla!I hddrecc ^i:Y Sl,�to7Z�p FMnn <br /> � SERVIECS64RU 0z�� <br /> i <br /> I atate Licenao Numhor(reqwred) Cily d EvereU 8ush e;s Licenso Numder(reyutred) <br /> Commercial/ Roservoir 37,772.00 <br /> IProponod U�e of Building ConVact Pnce of Work <br /> � N!A Sharon Card-sharon a secoinacom <br /> i Squam Foutapo(q ros�dcnGal new ecn3tr��C�on,remodr,l or adCiiioni Conlact PersonlContar.t NumbedEmail <br /> N/A <br /> INumbe: of dsvicno(H low voltago) <br /> Removo & Replace Wiring for(2)Water Reservoirs <br /> Descripticr�o(Work lo Be Done: <br /> I �[ __ _ _' <br /> GffY OF EVERETT lOCl�L SALEf,TA7(CODC-IS]105 �/� r p�/ <br /> �Y`� � <br /> I hereby cer�ily fhat I liu�e reod end oxamined thr;apppcehw�ontl knmvlho snme fo bo(rvo and <br /> oormcl Al1 provicians o/low:ond oMrrmunces povemrng fhi9 typc of work w�l!b�rnmplelnd <br /> wlrctlret spncr�od he.ein or not. Tho grnnrmg of e poimit does nof prr+sume ta grvc avthodfy to pE1�n-„ <br /> vin�nh;ur concal tho provi;�ans o/any ather;tafe or local fuw�epulutrn�canatrvclron or thr. �y <br /> perb,m�nCn ol concfruc6on. Thof 1 ern outhon,-ed by(h.,nwnei o1lF�s prnpeiiy(o perlorm the E I (lv' � O I� <br /> �v��/or mhich appp�=�lion is mnd�r.�nd I comply Kdfh tho Stale ConhnGor Lm•� 10.27 RCW end � v � <br /> 29e2G0 WAC. � <br /> $�i'O-w CGu'cl 9•0314 <br /> Signam�u . y�Y—,� ��,�� �Y� - <br /> ������,< <br /> *Please cal� for Payment�k Tha��� <br /> �, <br /> ---�_-� � - `�--� <br />