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MRY-23-2011 13:28 From:LNP 8886159679 To:14252578857 Paee:3�6 <br /> \ � <br /> ELE�TRICAL PERMIT APPLICATION <br /> CI7Y OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-vwvw.evereHwa.org 5 �a 3� � ( <br /> APPLICATIONS ARE ACCEPTBD FROM 8 AM TO 4 PM C�I D S "I 2� <br /> I��a� Eu�;r�� r.,� ''�° ' �}-�- t'� �oy <br /> PROJEC7 ApDR SS <br /> Owner Meil Addmss Cify StatefCp Phmu <br /> lJ�.;s��e t_brkU�r �D�a� �JGfOree:h GJ.�.�30 Ei�.ref�- �,�h RL�,t�/ �/;lS�Ndj-F33`�j <br /> Tenant MailAddress City StsfefLp Phon� <br /> !✓�e�ro ��ec_�«� l.lL 'd1x� IsFA�.c S. �IUS Lv°�1-�e t 1Q 9Y�Yy .263-b4-S56jr <br /> Electrical Contraclor AAa�Addrers City StatelZip Phona <br /> METRo� a�/n� � ►9 as.. 3o <br /> State ucense Number Contract Price of Warfc <br /> hC\ i\1 �5` III...w.oi� � <br /> Proposed Use of Builtling �� Contact person (Plan Reviaw) <br /> OescripUon of Work to Ba Done: �_���j1�ILS� L.��- � ��lo�..cy � �y(LNw�N1�"v <br /> oc.�rr 0!'r�,.� <br /> J <br /> NOTE: WIRING IN NON-DWELLINGS IS RE4UIRED TO FEE <br /> BE IN RACEWAYS,t�QC OR AC CABLE. <br /> ��'�� <br /> CfTY OF EVERETT LOCAL SALES TAX CODE IS 3�05 <br /> I herebY ceRNy that!have rsad and examined this application and know the same to be lrua and � �� . Z(c <br /> correcf. Alf provisions ollaws and ordinanees goyeming this ype o/work w;ll be rampleted <br /> whether spectfied heretn or nnt The granfing of&pe�mrt does notpre sume to give authority to � O-�j-. ! 'L-Z <br /> violafeorcancelthe vislonsofenyoffierstafeorfoce!law�egulatinpcanswcBonortne ��� <br /> performance o/cons ctlon. Tha ,6m aufhortzed Dy the owner ol rhis roperty to perform 1he <br /> work Ior which ppli fion is m snd I comply wilh the SYate ConMe�rs Law 18.27 RCW and <br /> 296.200 WA <br /> z3 � ll <br /> 5� na �e e�� <br />