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03/16,��011 10:02 2538740058 <br />. � <br />EMS <br />1 <br />PAGE 01/03 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �; ��p 3-6 Z <br />3200 CEDAR STREET, EVERETT, WA 98201 3� 6�� � <br />4?5-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACGeP7ED FROM 8 AM Tp 4 PM <br />673z /3e�Qrl� /3/vaG � - <br />, <br />PROJECTADDRESS ,� <br />CO rVle r <br />Owner <br />Tonant <br />��� y 6� 3a ,eeve,a� <br />��e�, <br />CeYy 6� 3.2 Beverly /3/vd <br />Mail Address <br />�Qlvd, �veref/" <br />�r . <br />(�s�3u� <br />WA 9�03 �s�� �. <br />Ciry stslelZlp Phone <br />F j�- wA g��.� ���-� <br />. 3u/-S�• <br />Ciy <br />Ene�gy ManagementServices 15008 351h Ave. W. #C Lynnwood <br />EIeClncai Contraetor � Mail Address Gity <br />ENERGMS913B6 <br />Stnto Licensa Numher � � � <br />Pmposed USo of euilding ' ' <br />De,cnpqon of Wcrk to 9e Oono: ASHC <br />NOTE: WIRING IN NON-DWELLINaS IS REQUIRED TO <br />B[ IN RACEWAYS, MC OR AC CA�LE. <br />CITY OF EVERETT LOCAL SALES TA7(�CODE IS 9105 <br />I hereby cnrtily fhaf I have mad and examined lhis applice <br />conocf. All provisions of laws and oro'inances govoming i <br />whothor spe�ed heroin ar nat The granflAfl o�a permif <br />violam or cancel fhe Qrovisions o�eny ofhcr stafe or locsl <br />porlo�mance or cons.ruc7ion. That I am authorized 6y the <br />worklor which appllca0ar is made and I compty wrth fhe : <br />296.200 WAC. <br />� <br />'knowfhe <br />ol work w <br />D 7'//�, // <br />Slale2ip <br />WA 90087 <br />S4��e2ip <br />Phona <br />A25-741-3526 <br />Phone � <br />Gonlract Pdce�oi Work ,' � <br />Dava Davis (425) 778-2795 . <br />Contacl Person (Plen Revlew) • , <br />� <br />e fo 6e true and <br />comple(ad <br />ve au(nonry to <br />tion or fhe <br />to perform fne <br />18.27 RCW and <br />FEE <br />