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2/10/2011 1tSO FM/"Cell Pau Merit Electric, Inc TO: 1/25257895 "AGE: 002 OF 002 <br /> EL E MICAL P"ER IT APPLICATION <br /> BION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 426-257-8857—www.everettwit.org <br /> APPLICATIONS ARE ACCEPTEn FROM B AM TO 4 PMI <br /> C <br /> PROJECT ADDRESS <br /> �.19�•rv9�-1.7�'.Lkr�z'rS 11-C..-.___�.yLp �Mss' <br /> -rte <br /> owner mewmareu CHy - 8�t tMLp Ph" <br /> T.o&e S kl Kms, �- of t✓f 95.70 _ <br /> T/e�nl� � t - �MdI AftonC�h�y " �t A• fiul wl3p _ Phone <br /> r <br /> l...LTm—T��11r_.t•'�.J"C•.rir.�_.L19E1�_L:Y►' SIG��� /e'LtnK.�TCO,�,�� •• <br /> Ele/ct�rlcal <br /> ,Contractor MalAddrex 111 Cal ShuZp Phan* <br /> Stato Llconae Number Contact Price of Work <br /> Proposed Una of Building Crmtad Person (Plan Review) <br /> Deacrlptlon of Work to Lie Dnne: <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CAVLE. <br /> CITY OF EVERETT LOC.1L,RAI"TAX CODE IB 3105 <br /> the oarthly that I have read and examined this oppl"lon and Mow the same to he WS and <br /> c(Mvi. All pmvtskms of lows and atl/nances pavurn rgg this f Of work w,1l be aomplehU V <br /> whether apou0ott hero w not. ha pranaoC of a perrNf doe not rasume fa pNa oudwrry to <br /> vkhte or oerlcef the p11+vvfslcns o,anyy other&fah or local law I@ weYnp txtruNrCliM or No <br /> Performance ofconsUt,ctlon. Thot 1 am aufftontnd h1'the owneY of hds property to perform Me <br /> work/ur whkh a 1pticofnxr!s made and I comply wan Me State Conhecias Law 19.27 RCW and <br /> .^967.200 WA C. . <br /> r/ ,s' ,;� <br />