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Sent By: KPMG; <br />425 481 0753; <br />• <br />May-16-05 7:47AM; Page 2/2 <br />� <br />ELECTRtGAL P�RMIT APPLlC�1TION <br />CITY OF EV�i���" PERMIT �ERVICES <br />32Q0 CEDAR $�'RE�T, EVERETT. WA 98201 <br />d25-257-8810 - FAX 425-257-8657 — www_everettwa_org <br />APPUCATIONS AR� AGC�P7'�D Fi2QM 9 AM 7� 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />� 50�1 �. �� � �G����'� 1 �/VA` <br />PROJECT ADDRESS �} �O L � <br />�� <br />Tenani <br />Mail Address <br />� sT <br />Mell Addross <br />City <br />City <br />StaUFJZip <br />5qte2ip <br />P11one <br />Z Of� <br />, - zi r <br />Pho�e <br />/�U i 5�cu� �� ,•z�rc.Es tl8z�{ N� ��r�<,�-..f�w%^�;� �l .�IDS .,�C�(, u.�� �foi/ <br />�leCtriC81 ContraCtOY Ma�� Addre66 City Stata/Z.ip P�ona <br />�Zs - �f 8 8 ' Sz-�f' <br />�rs� �r�3zo s � q�1o� <br />State License Number <br />Propo6ed Use Cf Building <br />�j/, por� <br />Contract Price of Work <br />��t Dcr� �ta'�,,� � <br />Contact Person (Plan �eview) <br />Descripiion of Woric to Be Dene: lNYTJW� �/11� �0! (� �,4 ��� �� `� �T r''�S . <br />NOT�: WIRiNG IN NON-QWELLINGS IS REQUIRED TO <br />aE IN RACEWAY5, MC OR AC CABLE. <br />CITY OF E1/E�i�1i �-OCAL SALES FAX C� IS 3105 <br />F�E <br />1 he►eby cerfllj�:ihet 1 heve read and examined fhis apRlicafion 8nd k»ow the seme to be hue and <br />correcF. AU provlslons of /aws and ordinances govem�n rhis type of woric wfU be com�►eted <br />whether s{�ac�fred herein or not. The grerofing ol d p9rm� does rtot presume t� �ive euthot'Jty tt> <br />vlolate oY CRncg►�e provisions of any other state or loca! 1aw regulating constnrchan or the <br />performencs ol consPruction. That I am authodred by the owner o� this prope�ty to perlorm tf�e <br />work /or whlch eppllcat/on Js made and I compJy with the State Conlracfir's Law 18.27 RCVY er*d <br />296-200 WAG. <br />�����„�:�' � <br />.. �rr:rrr..."-; .�., _.� � <br />• - �: <br />I�- 1.��� 1� .L: / �:. <br />