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JUN-1-2011 07:21 FROM:CBM HERTING 425-745-1344 T0:14ZS257H857 P:4�4 <br /> � <br /> � <br /> ELECTRICAL PERMIT APPLICATION � <br /> CITY OF EVERETT PERMIT SERVICES ' <br /> 3200 CEDAR STREET, EVERETT, WA 98201 / , � , 11 <br /> 425-257-8810 - FAX 425-257-8857-www.evereflwa org �� <br /> APPLICATIONS ARE ACCEF'7ED FROM 8 AM 70 4 PM � I I O b � ��S <br /> � <br /> �g2Fs C�C�IQ.r 5�- <br /> PROJECT ADDRES& <br /> P�nd �►-ien-`► Rrnb��-�qti i828 CRc�afS�t 6r�rext' rvR �t8201 +�2��188 8 <br /> OWner 1d � Atlarv�c city Slmo2tp Pnone <br /> Tenent 1dell AtlArcci City $IMN7.iD Phone <br /> Cm na hc 1415 groadwa.� EYerefit 1�?t��1�7�t �2525q ��6� <br /> Eleetricai Contreetoi i- Ma�i qdores� CIN Slefe2lF Pnone <br /> CMI�F�MH�e�R9 �{ ,52 <br /> Stnte Ucence Number Cont�ct Price of Work <br /> Propnsr.d L�se of Bullding Conted Peryon (Plan RCNeW) <br /> �p1 /�f (�� ,p � <br /> Dcacription af Wark�o Ba Donp: I1S �� ! � Ftl r ►�l�(u <br /> ____�Q { 3Q R'1� ?.2L� ti rwi"f- <br /> NOTE: WIP.ING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN fiAC[WAYS, MC OR AC CAf3�E. <br /> CITV OF EVEREtT LOCAI_fiALEB TAX CODE IS 9706 <br /> 1 A�reby corttly fhat!Irave rtEd and eremined this epplitetion and know fAe same to beWe onrf � � <br /> tnrrntf A!I provieions of Imvs nnAvrdin�nce^povem�np fbis lyp6 O1 Wo�N will be compfeted (�1�li � �i U � <br /> whofhcr spccrliad herein pr noL TAC qrenAng af a pe�mit does nof presume tu pive outho�ity fp <br /> Ivlolntv orcnncel the pn7visrOns ol any nflrr.r stnta a locallah�regulatmg conshuct�on o�fhe <br /> peNormence o>constrvction. That I am authonzed by Ihe rnvner of hhis pioperty lo pCAomr the <br /> wod�/or whrdi oppHcofron is made anci I comply Nith the StafB Conhac7ors Lari f A 27 RCW Bn0 <br /> , R8B.200 W'AC. <br /> � � 6-I•II <br /> ynNure ale <br /> � <br /> . <br />