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04/19/2�11 08:37 2538749058 EMS PAGE O1/01 <br /> ELECTRICAL PERMIT APPLICATION <br /> CIT1f OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 426-257-8010 - FAX 425-257-8857—www.ovorettwa.org <br /> /1PPLIGATIONS ARE ACCEPTED FROM e AM TO 1 PM <br /> 425 Weat Casino Reed <br /> PROJECT ADDRE55 <br /> Ceeino Tesoro 426 Wost Casino Road Evorott WA,8BZ04 425-290-9693 <br /> ONmM MaA AAdres� Clry StaleQip ?hone <br /> Cosino Tesoro 426 West Cncino Rond Evurott WA,90204 42b-290.969� <br /> TOn�nl MailAddress City u�ele/2ip phune <br /> Energy Management Services 75008 35th Ave W Sie C Lynnwood WA,aeoe� 425•741-3526 <br /> [lecttl�l Contraclut Mml Addraee Gry SIaIe/Lp Phone <br /> ENERGM591388 Sfi00.00 <br /> S�ate Licen�e Number Contrect Price oi Work <br /> Commercinl Ratnll David Silvy <br /> Proposotl Uce of�wldinp Contacl Porcon (P�an Revlew) <br /> dr.sulptlnn ol Wark to Bo Dono: <br /> Relroflt 10 each 40U-wnft Probe SIoA Melnl Mnlide to 26awatt Pulso Stort Metol Hallde Lamp R Ballast. <br /> NOTE WIRING IN NON-OWGLLINGS IS REQUIREO TO FEE ,�j <br /> L�E IN RACEWAYS, MC OR/1C CABLE. �, 6 <br /> CIIY OF GVCRCII LOCAL SALES TAI(COUE 19 J705 <br /> I hwr.by reriily fhof I Nnve rend and examined fhls eppllcaflnn nntl know(he eame to be tmo end <br /> rnnect Allprnvisinnx nllnw�end orcllnnnees govoming thla fype of wo�X wlll be eomplr.frd <br /> w hn0ier specAmd hemm rn nuf. 7hr,pmnting ale permd doea nofp reaume fo grvt aufhurrty fo <br /> v1nlNe nr cancol(ho r lawqs ol any ofhar sfnle o�loial law regulefin�consfrudion or Ihe � <br /> pr.rfonnnnr.c nS rtion. Thet I am aufhorresd by(he owner o!ihrs property lo peAomt the <br /> wurk Inr wl �qp(� 6Dn is /\vwpp�with the 5(Bte Confmc(ora Lnw 1l1.27 RCW end , /1� <br /> 29C.:00 AC �i � i . \ � L. <br /> T�L � / �� U <br /> � � ,4 <br /> ( <br /> S�g�ature 9!e <br />