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FROM :Lakewood Coturnes FAX NO. :2535898605 flar. 10 2010 03:29Ff9 P1 <br /> 21' <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 88201 <br /> 425-257-8810 - FAX 425-257-8857—www.everett worg <br /> APPLICATIONS ARE ACCEPTED FROM a AM TO 4 PM <br /> 117 - -Iq►h f lace 5E <br /> PROJECT ADDRESS <br /> F,uerett P0u 119 huftr l ty .2115 W h St ree4 Eve rei:c. WA 98201 y a5-303- 11 z1 <br /> Owner Mal Addno CRY Stmw21P Fq p <br /> Tonam Mal Address cry SraM21p Rrurw <br /> Rtl Sledr 5` 13 5. Mullen 5 [epi Tacoma WR gb4oq as3-365- 2200 <br /> Electrical Contractor Mau Address city SUtMrP <br /> RIAS LEE'" 919 PT <br /> Stato Llconco NumWr Contract Prim of Wnrk T <br /> Re iden"-ial - sigle jam'l ly <br /> Prop000d Uao or Bu�IM;F — I Contact Penson (Plan RamW) <br /> Do=AptlonofWorktoBeDone. 14--moDrAru 5eryi(`_P-, <br /> NOTE: WIRINGS IN NONDWELLINGS IS REQUIRED TO <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL.SALES TAX CODE IS 3106 <br /> I Irareby wRdy that I hnvn mnd and arnminod MIs Opnllcarkvr and know rhe same t0 AO film and <br /> cvrmaf. Atli,mvisims orhrws ora ortmances govominq this tyro of work will be compk red <br /> wholhor Nw-d7roJ trnraar or not rho granting oto pnrmd chars naf ppoosumo M pive erdhorib fo <br /> vloteto cr canceI pre proyiywly d any ocher sinto or kxad law royulaflnp consrntMkn w pro <br /> porlrmrrnrrrn nI rwrsrrUc.Yrun. t7raf 1,71"artrhonred by par owner W this M M <br /> work lot whrh nnptipt on is mado and I comply with par Stator CbrrMncfas Lnw i(1 W O� <br /> 290.200 WAC. <br /> AEF F R.6� . - dor _ r _ 3 /p �o /403,os <br /> S�ynalure I tx <br />