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06/28/2006 09:34 4253778977 EOSCH ELECTRIC INC: PAGE 01/01 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3900 CEDAR STREET, EVFRFTT, WA 9A701 <br />426-257-8810 - FAX 425.257-8857 - WWW.evereltwa.org <br />APPI. ICAT IONS ARL ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />1515 15TM 54 50 <br />PROJECT ADDRESS <br />J0615m ramlt ('Merfits PO eyx 5g3 evtra�. Wh • gg7o� <br />Ovmw v— Mail Addroge City State/zip Phone <br />corg&coFfcc. 15zoI5rL5fnj1000 Cytrai, W496203 (gleM-5)-OZ- <br />Tenant Mall Address City State/Zip Plane <br />Bvsc� Elccilir. zv�c. fOew )Gm LA-k- 8ttxt~s, u)h. IT691( �isI3�7��i s <br />Electrical Contractor Mail Address Ciy SMtemp Phone <br />6:p"Ex 1413 Gr <br />State Lloonne Nurnhor <br />Loa"8'-24 duc-k. <br />Propose Use o Bullding <br />Description of Work to fie Duna: J..NS'i'r. t 1 Gir(}�.GAC� �`�{�-1t�- <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CI tY OF EVERETT LOCAL SALES TAX CODE 15 3105 <br />Contract Price of Work <br />Contact Person (Plan Review) <br />! hereby codify Olaf I have rand and eramined frill; application and know the some to ho true and <br />cro rccf. All provisions of laws anr' oniMances governin this typo of work will be comploled <br />wh oO^ar spawfiad herein Qr not 1 he gmnry O.l o Pq, Ir, does not presurne to pine aumorlry ro <br />�--- appuwuen is maea ano i compjy wilt) am Stare Conimcrors Lai it 10:27 RCW and <br />290.200 WAG. n Q / <br />& <br />at6 y <br />t <br />FEE <br />