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ELECTRICAL P�RMIT APPLICATION <br /> CI7Y OF EVERETT PERMlT SERVICES <br /> 3200 CEDAR STREET, EVE-RETT,WA 98201 <br /> 425-257-8010-FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1010-SE Everett Mal/ Wuy Suite 100 <br /> PROJECT ADDRESS <br /> Kirt/ey-Co% Assac. LLC IUlO-SE Everert Ma// Wa,ay Suite i 102 E�t, Wa 98208 425 609.0400 <br /> Owner Mail Address City Slate/Zip Phune <br /> I.2.Dato Infl Inc 1010-SE Everett Mall Way Suite 100 Everett,Wa 98208 <br /> Tenant Mail Address City Stale/Zip Phone <br /> IES COMMERCIAL 1611-East Marine View Lb Dr Evere etf, NL 98201 <br /> Eleclrical Conlraclor Mail.4d-Jress City State/Zip Phone <br /> IESCOCI929TB � 6•�•� <br /> Slate License Number Contract Price of Work <br /> Office Jeff Olsen <br /> Proposed Use of Building Contact Person(Plan R�view) <br /> Descriptian of Work to Be Done: Elettrical work for tenant ir,fprovement <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIREDTO FEE <br /> BE IN RACEWAYS,MC OR AC CABLE. .� 190.00 <br /> _� <br /> i CITY OF [VERETT LOCAL SALES TAX CODE IS 3105 r����_ UC �� <br /> I I hereby certily thaf I hava read and examined this application and know fhe same to be true and " <br /> ' correct.All provisions ollaws and ordinances govemin�this fype ol work will be complefed <br /> whefher specilied harein or noL The granting ol a permif does not presume to give aufhor,ty fo <br /> violafe or cancel the provisions ol any ofher sta!e or local law regu/afing construcfion or fhe <br /> ped�rmance oI consfruction. That I am authonzed by fhe ownorol fhis property to pedorm fhe <br /> work lor witich application is mado and 1 comply with fhe Stafa Contracto:s Law 1A.21 RCW and <br /> ?96.700 WAC. <br /> ` � NmlGen k:lec�ric Cu..In:. <br /> JInrer��n141.�binl&niu�. <br /> Jeffery Olsen 8/8/2008 Job: 7663 <br />