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SEP-16-2010 TNU 02�09 PM Prime Electric FAX N0� 4257475552 P� 03 <br /> � � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERET'T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 426-257-8810 - FAXA25-267-8857—www.everattwa.org y _/G /D <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM L��p9--�I�y <br /> 3ao3 �Si,r,b �4ab, 13�.ilrJ�G yp-�/A� <br /> PROJECTADDRESS <br /> �i.J� Po - x 3�0� ��ri� ��� 98'ias� <br /> Oyy�p� Mill AOdiese Clry s���P Ph0^� <br /> Tenant MellAddre�s Clry StMs2ip .JM Phona <br /> 7b�'7 <br /> h�iQ�mE ��'�r11��3.3.si SE �G� Sy �ilE✓�eF �.�A °�m5` <br /> ElectriCel ConVactof Malt Pddreae Cry Slaulilp Phone <br /> �na� � �1 L y ��ao <br /> Stnte Licenee Numbar Contract Price a(Work <br /> !/i'i'!L�� , <br /> Proposed�se of Bullding Contacl Peroon (Plan Revlew) <br /> DosuiPUon ol Work l0 6e Done� _��L�/Q7� � /��J� ����"Z-' ��� <br /> NOTE: BERN RGACEWAYS MC OR AC CABLEUIRED TO �E <br /> �/555 � <br /> CITY OF EVBRETT I.00AL SALBS TAX CODE IS�106 <br /> I�erebY ceRlry thaf I have�eatl antl oxamined this ap(�IicaNpn and know fhe same fo be tru�and <br /> �arec(. All provleions of lawa and aM�nenaes govem nC fh�s fype o/work wrll De,aomp/efe <br /> wh6fhar spaUBed hereln d not. The grantln0 bf a permif tlws nol presumo to grve authonty to <br /> vlol8te or cancel fhe nrovislons aleny other sfafe arloeal law re9uletinp eonshuctlon or tho <br /> parYormanco of const n. 7haf I am aufhorized by fhe awneJa/thl�pmpaRy fo p4.rlarm fhe <br /> z9ZtO�r whicb epp6C !on made and I comply witb fhe State Conhac(ars Law 18.27 RCW and <br /> 0 <br /> . _f �/!p (�� <br /> Slgnetum B° � I 1,����/ <br />