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JUL-16-2010(FRI) 10:16 ALL WIRE FLECTRIC (FAX)2069354280 P. 001/001 <br /> � � <br /> ELECTRIf:AL PERMIT APPLICATiON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREE7, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-6857—www.everettwa.org � `'6 _�� <br /> APPLICATIpNS ARE ACCEPTED FROM 8 AM TO 4 PM C�007 "0�O <br /> �.�,0 � L�n':1jF./'!� �'VG <br /> PROJECT ADDRESS <br /> Qo � hemwS <br /> Qwner Meil Address City SlaleZp Phone <br /> Tanant Mall Adpr¢es Cly SIBl02ip Phone <br /> �I l k.l� r� ,I� �� 303'{ S4J c{�(�sTa�„ Si. Sc-,.�f�, w�4 �s���6 <br /> Electrical Co�hador Mall Address City State2lp Phone <br /> hl1 wl k��q�� �,l�C. ��� �r��-�1"%fia� <br /> State Llcensa Number Canhad Price of Work <br /> �OCI��'/�lq �,GSl�� <br /> Proposed Use at euiiding Contact Person (Plan Review) <br /> Desaiption of Workto Be �one: 1 C/✓�� ��wu' �� �� "^',+ "����� <br /> NOTE: WITING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF E1�=RETT LOCAL SALES TA7(CODE IS 3105 <br /> !hereby ceAl(y thaf 1 hsve reed and oxominod this applicatfon and know�he samo to be true and <br /> correct. All provisions of lows and ardinances Boveming fhis rype of work will be complefetl <br /> whether spoci�ed hereln or nof. The granting o!a permi!does notPresume ta giva aufhority lo <br /> violafe or cnncel tho provisions o/any ofhe�state orlocel law rogu afing constructiort or the /y <br /> pe,7amance of conshucfion. Thaf 1 am authonze0 6y the owner of this properry to perform the ��/ <br /> work kr which epplication is madv anA I complY with the State Contracf�rs Law 19.27 RCW and p <br /> 296,200 WAC. <br /> l� I O�� ' <br /> Signature Deta <br />