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'_��;16/2008 06:16 2538740058 EMS PAGE O1/01 <br /> ( <br /> E ECTRICAL PERMIT APPLICATIOIV <br /> CITY OF EVERETT PERMIT SER�'ICES D �d <br /> 3200 CEDAR STREET, EVERET7, WA 98201 S `� <br /> 425-257-8810 - FAX 425-257-8857—www,everettwa.org ��� S���) <br /> o� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 3 3� pa'�h /�Ve , �ve r��t , w�l q�.s o/ <br /> pROJECT ADDRE55 <br /> Nilos Fowler 3327 Paine Ave. Everetl WA 98201 (425)252-1200 <br /> Owner MailAddress City Ste�efZip Phone <br /> Niles Fowler 3327 Paine Ave. Everett WA 98201 q25 252-1200 <br /> Tenant MaIlMtlress Ciry Stste(Lp Phme <br /> Eneryy Managomunt Se ices 34310 91h Ave. S.#10D Federal Way WA 980U3 (253)874•2?12 <br /> EleclricalConlractor Me�lAdd�ess City Stete2ip Phone <br /> ENERGMS91366 53,50D <br /> Stale Ucense Numuer CanlraC[Price of Wotk <br /> Sam Nam(425)273•7300 <br /> Proposed Use o{Building Contect Person (PIOn Review) <br /> Daccrlptlon ot Work tu�e D ne: Llghllny ReVofil <br /> NOTE: WIRING IN NON- WGLLINGS IS REQUIRED TO FEE <br /> BE IN RACEWA ,MC OR AC C�BLE. <br /> CITY OF EVERETT LOCAI ALES TAX CODE IS 3105 <br /> I horvby cerliry(haf I heve re d antl eraminsd this appllcallon nnd know lhe sams to be frue and �\��(�� <br /> correcL All provisions o/faw and ordinances govomin9 fhis ryFe o/work will As compl6ted <br /> whcfher specifred herem on �L Tltu�Jranth�g o/a permd does not presume to gl��e aufhonty fo <br /> violafo or cancol tho provisio s of any other sfsle orincal faw regula(ing consfrucl/on or fhe <br /> pedunnsncc u/consTrocfion. Thaf I am aufhonzed by fhd ownor o1 fhia property to peAorrn fhe <br /> t�Drk IU�whiLh pppliCdh00 i5 nado ond f comply wlth the Sfafe Connactors Law 7B27 RCW ar:d <br /> 296.200 wAC. <br /> .�y�� �� Of/o6 /O <br /> 5ignaWrs - Date <br />