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10/22/2008 00:34 2538740058 EMS PAGE 01/01 <br /> � <br /> E ECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C[DAR STREET, EVERET7, WA 98201 <br /> 425-257-8810 - FAX 425•257-8857—wvwi,everetM�a.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 F'M <br /> �iZ�iZ- �roc. �W , �ve� e�1' , �f b�zo � <br /> pROJECTADDRES5 <br /> Covenan�Arl Glass 3232 8roadway Everett WA 98201 (425)252-4232 <br /> �wner MailAddiess City StatelZip Phonu <br /> Covenant Art Glass 3232 Broadway Evereri WA 98201 (425)252-4232 <br /> Tenanl MeilAtldreu Chy SGteZp Phone <br /> Energy Menagement Se Ices 34310 9th Ave.S.#108 Federal Way W�98003 (253)874-2212 <br /> EledricelConLnctot MailAddrcae C�ty 5ta�eld0 vnone <br /> ENERGMS913E36 $2,300 <br /> State Llcense Number Contract Pnce of Work <br /> Sam Nam(425)273-730D <br /> Proposed Use of Bulltling ContaG Person (Plen Review) <br /> Desaiption of Work to Ba D ne: Lighting Retrofit <br /> NOTE: WIRING IN NON- WELLINGS IS RE�UIR[D TO FEE <br /> BE IN RAGEWA , MC OR AC CABLE. <br /> CITY OF EVGkGTI'LOCAL 'ALL•5 TFUC CODE IS 370Ci "-- <br /> I hereGy certrry fhaf I have re d and exomined fhis applicalion and know the same fa be IruB Bnd (� <br /> conect. Aq provieinr,s ollaw and ortiinances poveming lhis type o/work will be complafBd t—����Ci— � -�j 7 <br /> whother spec��ed herein or r f. The granting ol a permd does nof presume to give authonty lo \i <br /> violate or cancel the provisro s of sny other stafe orlocal law regulating conslnufion or the <br /> peAonnancs ol constmchon. That I am authorized by 1he owncr ol(his proparty to per/orm(he <br /> work lor which application is ads and I Comply with the State Con(ractors LaW 18.27 RCW end <br /> 2A6.200 WAC. <br /> ��. o�/�3 � 0 <br /> 6ipnafure Da e <br />