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tL�,CTR.ICaL PERMIT APPLICATION <br /> ClTY Qf= EVERETT PERMI'f aERVICES <br /> 32G0 CEDAR STREET, EVERETT, V:A 98201 �� � �j`QCj <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org C �GO U /y s <br /> / <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1101��1yth Ave SE Silver Lake Shopping Center <br /> PROJECT ADDRESS <br /> Coastal Serhoe P.O. Box 1393 Yakima WA 98907 425.252.5400 <br /> Owner hlail Address Gty Stateizip Phone <br /> #1090 Ace Hardware 512 29th Ave SE Puyallup W/� 98208 253.841.8470 <br /> Tenan� Mail Address Ciry StatelZip Phone <br /> Preferred Electric Inc. 9226 232nd St SW_ _ Edmonds WA 98020 425.583.9662 <br /> Electrical Contrector ldail Address City StatelZip Phone <br /> PREFEE1925PL � 33 775.00 <br /> State License Nurnber Contract Price of Work <br /> Retail Lorne Wallitner <br /> Proposed Use of Building Contad Person (Plan Review) <br /> oescript�on orwork co ee oone Provida branch circuit power and lightina wirinq for a retail tenant <br /> imomvement <br /> NOTE: WIRING IN NON-D'NELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �606.63 <br /> CITY OF EVERETT LOCAL SAI.ES TAX CODE IS 3t05 <br /> I hereby certi(y thai 1 have read and exarnined this application and knav the same to be We and <br /> correcL All provisions ollaws and erdinanr.e�yoverning fhis type ol�ro�k will be complefed <br /> whether specrlied herein or not. The granting ol a pernut does not resume to�ive authonty to <br /> violate or cancel fhe provisions ol any other stat2 or local la�v reyuP6ny cons(iuction or the � <br /> perfor�an�e ol construction. Thal 1 am aidhori�ed by the o�vner o/fhis property to perform the J— � � <br /> work l�r which apU�i ticn is made and I comply�vith (he State Contractors Law 18.27 RCW and QC / . <br /> 296,2(10 WAC. / J '�. <br /> ���L'�� l�L''����_, 4 / 29 / 09 � I <br /> SignaNre Oate <br />