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03/24/2009 16:10 FAX 2063621025 Sean Cumpton. S}IC Sound -, City of Everett 1�002 <br />03/24/2008 15:44 FAX 425 257 8857 EVERETT PERMIT SERVICES 001/001 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857—VA".everettwa•org 3-a5-09 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM L O9 D 3-1� <br />�Io!/ �ya� �� c���hG//✓'s� i5� <br />PROJECT ADDRESS <br />Owner Mall,vddress lily State/Zip Phone <br />// <br />Tenant Marl Addresa City �— Slatd2lp Phone <br />)ABC ZoOLJ � r ir�ia j7ra� 7 C >j 2 c� 7,J7`' S{"S6✓ ! rynwa �r� 4y 93'03 <br />Electrical Contractor Man AddnlZ city Stat L'p Phon <br />yzs•77� • �Y9 <br />S'M C I O GZ � SLQ� yy� <br />State License Number ntract Price of Work J <br />Proposed Use Building <br />of t;ontacl Pierson (Plan eview) <br />// -- __ // 1 <br />Description of Work to Be Done: &IJ ✓C44 se Sr2e4 PT SAS/ r'M " d r /-'r, e kdyrd <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF MIERETr LOCAL SALES TAX CODE IS 3105 <br />1 hrmby certify that I havo road and examined thic application and know the some to be true and <br />correct. Al! provisions of laws and ordinances governing this type of work will be completed <br />who thor sp6cirrad herein The <br />or not. granting of a permit does nor resume to give au(honly to <br />violate or cancel the provisions of any other state orloeal law regulaating construction or the <br />performance ofconsfrucf/on. That ! am authorized by the owner of thlcpropety to perform the <br />work for which application Is mode and I comply with the State Contractors Law 16.27 RCW end <br />295.200 <br />S ialure Da <br />�0'� <br />9 <br />