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11/24/2E08 03:�7 2538740058 EMS PAGF 01/01 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREE7, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 – www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO d PM <br />&�t�ti 3� 1� li � : wR, qgao� <br />PROJECTADDRE <br />n�orr�� f,�l,Tic 13ata, n,� i6-w� st-. Uv��- 31� 6a�lavua wR a�Ao4 <br />Owner Mail Addrsss Ciy S�aierz�p Phone <br />TenRn� <br />n�an nudress <br />Ci1y <br />StalelLp Phone <br />Energy Manegement Services 34310 9th Ave. S. #108 Federal Way WA 98003 (253) 874-2212 <br />EleclricnlCon(mctor MeilAddrecs C�ly Staie2ip Pho��s � <br />ENERGMS9138G _ <br />513ta License Number <br />Propos^d Use of Buildlnc� <br />DescnpUon nf Work lo Be Dune: Llghlitlg Relroflt <br />NOT[: WIRING IN NON•DWELLINGS IS REQUIREU TO <br />QE IN RAC6WAYS, MC OR AC CABLG. <br />CITY OF EVFRETT I.00AL SALES TAX CODE IS 3105 <br />t� 10.Oo0 <br />Cunlrecl Price of Wark <br />RzKL Qavis 4tati)R9�1–�5 <br />Contact Person (Plen Rr.view) <br />I hereby cert�ly U�at 1 havs rsad and exsmined this applicefion enA knoH� fhe same fo be lrue end <br />corn;ct. All pmvisions ollaws and ordinances govsm�ng Ihis type olwork will be completod <br />�ehefher specdied herein Or. noL The granfing o/a permd Ooes not presume ro give aufhonty to <br />violateo�c�nceltbo provisroncolanyotherslateor!ocalluwregu/aNngconstroctrenorlhe <br />peiforrr�snc: o/ consln�cfion. Tfw11 am aulhodzsd by fhe owner oJthis proporiy fo pedorm fhe <br />wyk for K.�luch �pplicet/on Is made .and I Comply wi(h ths Sta(e Conttscfors Law 19.27 RCW and <br />�. /� �—' 6/I�;/10 <br />FEE <br />�D�� -0�9 <br />