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D9/15/20U8 12:b6 4255822725 SAPPF'IRE PACIFIC ELC PAGE 03/�3 <br />ELECTRIC AL PE#ZMIT APPLICATION <br />CITY OF EVERETT I�ERMlT SERVICES <br />32D0 CEI IAR 5TRE[T, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.evorettwa.org <br />APPLICATIO' �S AftE ACCEI'TEq FROM 8 AM TO d PM <br />�a51� 9�' �r. SE Eva,��Tt" 9$2�8 <br />F'ROJECT ADQRESS <br />�/},fJl�� COK�-�S <br />avng� <br />` S�4M & - <br />Tenant <br />Elcctrical Contrador <br />Mul l�dArcss <br />Mnil Address <br />��FeT <br />r�+au naaross <br />SA�i�/ft2£ `}�i4C�k-' ��T, <br />�H: �(ZS'-S82-Z3� <br />,�'X ; c�Zs -58z - 272.5` <br />SA.�E - �o3-5�S2-07�9 <br />City SWtufZ1V Pnono <br />SA t'� r� P� 9z �'�i <br />State Licensa Numbor '— <br />��51 DE.c��' [A� <br />Proposed Uae of Building � <br />��+scription of Woik �o Ba Dvna; <br />' �0��� <br />City <br />.� <br />tCC r� 3 <br />cn�r <br />StatolLip P�orw <br />� /f�ir�K 1 �ER . �Igay3 <br />Staia2lp Phone <br />� 2 � y� -- <br />Contrad Prico of Work <br />J�.ti+gs C•��rka.s� <br />Contact Person (Plnn Reviaw) <br />�"D s H ED <br />NOTE: WIRING IN NON•DWELLINGS IS RE �UIRED TO <br />BE IN RACEWAYS. MC OR AC CAB .E. <br />CITY OF EVERETT LOCAL SALES TAX CODE �� J10.5 <br />I he+eb ceAify fhat I huve reud and ea�ominaci tfus �pplicuGon ond M'�ow fhe snme to fx: l�u� and <br />cormctY AI7 /uov�srons ol laws anU oreilnnxos gov ming this rypo oI wortr wlll bo compfofal <br />}��hofhor cpocrl'iod ho n ornoG Tho praMing ol o��oimrt dooc notp !ocumo ro glro nutlwrr!y fo <br />violpfoOrCflncell/ visionsolanyothersfptee-IocnllAwragulatrngconstruefirnortho <br />ponomiance3 ol m ruction. T6af I am aufhonze�e 6y tha owner o/ IhisFvopoity to /x+dnrm fha <br />µrork lur which a cafron is made aixl I compfy w h fho Stafe Conhac(ors !aw 18 Y7 RCWarxJ <br />e96.200 WAC � /l <br />�i[ti� �-�`^'. " <br />t�Z� ��Z- Z3� �" <br />� /s-OS <br />tC��O�'C��1� <br />