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MRY-31-2011 13:19 From:LNP <br />{ <br />� <br />8886159679 To�14252578857 Paee:1�2 <br />ELECT�2ICAL �ERMIT APPLICATION <br />CITI' OF EVERETT PERMIT S�RVICES <br />:3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-25?-8857 — vaww.everettwa.org <br />APPLICATIONS ARE ACCEf'TED FROM 0 nM TO 4 PM <br />� Ib� E, � tJ� , e�.,�i�-' ��1 9��� 5 <br />PROJECT ADd ESS � <br />Owner <br />Tenant <br />M�il Addrees <br />Ideil <br />City <br />Cily <br />SlatcJZlp <br />S_��-/f <br />� / /d�' � �� <br />Phone <br />'kaes '7 ��,� ? yu-� <br />Slalel2ip Phone <br />%��ei'rc �c�ri� �� 1�3� �f}/-�ce S 5�z���Z WI'� kFii34� z�i-3�'S'St <br />ElectdCal Gontractor Mail Address Ci1y Sta�ellip Pnone <br />�'Llc- i ko��. � �61 �,� � 3,�oa <br />Stat2 License Num6er <br />/�r, I .� 1-��- ��s <br />Proposed Uso of Bullding <br />Descnption ot Work to Be Oone: <br />NUTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />Contracl Price of Wor',c <br />s,� _ s,.�,.,��s <br />CoMacl Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />I Bereby certily Ih3t I have/� ad and axamined fhis applicsfion and know the same fo be frue antl <br />carecf. All p{ovisions oJI Lvs and ordinances goveRing fhis fype of work will be comp�eted <br />whefher speafied heiein r not. The granfinp v( a perm�t does not presume fo give authonty to <br />vio/afe ar cancel fhe pfro� sions of any othersfafe allocal law repulatinp cansfruchan or fhe <br />p or�k�f r�{vht � PP�rest C n�s m8de and ! c mptye�fh fhe 3tate Cont�cPorsP�aiv 18 27 RCW and <br />:96.20q WA , <br />..� / ' S-�l- il <br />FEE <br />� I �b q�o <br />