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BURKE ELECTRIC LLC Fax:d257d75977 Jan 23 2009 69:d0am P002/002 <br />ELECTRICAL PERMIT APPLICATIO�f <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETi', WA 982U1 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />.� �D3 <br />(ae--a- �Q.,����, �,�� �Pwmp �0.�0�� <br />PROJECT ADDRESS " J <br />Owner <br />Tenent <br />_ �oZfp I SCo� � <br />Moil Address <br />Mail Adtlross <br />City <br />Cily <br />swcerzrv <br />S(ate2ip <br />�v �oi-��b <br />Phone <br />Phone <br />Br.c� o�Je�c�rtL /35�3 5� 2;-� (��. F�(�eve.� .� f9�.,e7� 41S6V�.,?ci <br />Electrical ConUaetor Mv�l Address ciry state/Zlp phone <br />Bu K� � <br />Sfate license Number <br />Proposed Usa of Building <br />� / 90� oat� <br />Contract Price o( Work <br />Contact Parson (P1an Review) <br />DescriptionofWotkto8e�one: R.o,n,ave� ��FI��S �I- (�zp�qc.2_ r.��.�-(,� �Z� �JtIGI/ <br />S0� sl����r� <br />NO'fE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABL[. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I here6y croRi(y that ! have read and examined this enAlia <br />mado <br />and knav the ssme to be tiue and <br />✓/Je 0( work will bo Completed <br />naf resunte to give authonty to <br />eguPaGng consrn�ction or the <br />ero/this praporrytoper(ormthe <br />Contractors La�v 18.27 RCWend <br />FEE � <br />Z, t8`�J <br />.�c�Rvi-a3� <br />