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11/15/2010 11:18 4253778977 SOSCH ELECTkIC INC PAGE �1/01 <br />r <br />EL.ECTR�CAL P�RMIY APPLICATION <br />CITY OF EV�R�TT n�RMIT SERVICES , <br />3200 CEDAft STREET, EVEf�ETT, WA 98201 <br />425-257-88�1G - FAX 425-257-3857 — www.everettwa.org � + <br />Ai''PLICATIONS ARC ACCEPTED FROM e AM TO 4 PM - DEBIT R CREDIT CARDS AiZE �`!oT ACrcPTED <br />280 �i `T � � L <br />rao�er,-r aonr�Ess — <br />o�,�� <br />Tonant <br />EleCtrical Contractor <br />Maii Address <br />Mall Address <br />1.1a11 Address <br />gosc-H� EZ.`�132JTr <br />State License NumBcr <br />�'1� 4„��x <br />Proposod Use of uildinp � ' "' <br />Ciry <br />City <br />City <br />Descripfio:, of Work to Be Done: � � N C-� j�.�7C—� ��b� <br />NOTE: WIRING IN NON-DWELI_INGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CAl3LE. <br />riTy OF EVERETT LOCAL SAL[S TAX COD� IS 3105 <br />�z�. <br />� qszo� 3��,��Z <br />StatalZip Phone <br />StatelLp Phone <br />g 82S£� yas3R7 876: <br />S��p Phone <br />5�c�'�c <br />Contract Price of Work <br />Contact Porson (Plan fteview) <br />I hr.reby ccrtily ihat ! ttave �ead arrd examined (his applicafion antl know the same to be trt�e and <br />corrvcc A!I provlslons e!laws and ord/nsncas goveming lhis type of �rork will be complefed <br />�vhefhoi spec�Iied herein or noL 77�e grsntinp ol a parm�t does not resuma ro givo aufhonly to <br />vialat� ol� cancel the pioNsions af any other slate or locol law reouPatingp r.onstruction o� rhs <br />p or�o o awn ch pp� c��i7! n�s rr,ard en��i co�mp/y wu�}ihe f,feni ContiacfoB L3 yt 3.27 RCW and <br />296200 WAC. <br />FEE <br />� <br />