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01-14-'11 19:45 FROM-nw permit 13609452091 T-943 Pg02/0�2 F-375 <br /> i <br /> II <br /> ELECTRICAL PEi�MIT APPLICATION �I <br /> _ CITY OF EVERETT P I ERVICES I <br /> 3200 CEDAR STREET, EVERETT, WA 98201 I <br /> 425-257-8810 - FAX 425-257-fi857-www.everettwa.org t�� t/�// i <br /> APPLICATIONS ARE ACCEPTtD FROM 8 AM TO 4 PM �J�0�-O�� <br /> 10025 19th Ave SE, #202 � <br /> PROJECT/1DDRESS <br /> I <br /> KAE INVESTMENTS LLC 10025 19th Ave SE, #202 EVERETT WA 98208 425•357•8747 I <br /> Owne� Mail Atldrgss Cily SlalefLip Phone <br /> LakeSide Endodontics 10025 i9th Ave SE, #202 EVERETT WA 98208 425-357-8747 <br /> Tanant Mail Address City 5late/2ip Phono <br /> ALL POINTS SECURE. 2712 16TH ST EVERETT WA 98201-2112 360-945-2787 <br /> [lecirical ConlfaCior Mail Address Clly SlateRip Phone <br /> ALLPOI'S923KA 100.00 <br /> Slale Liconse Number Contrac�Price of Work <br /> 506 Coml C�r,do - Services William Millhollin 360-945-2787 <br /> Propo,ed Uso of Builtling Contacl Petson (Plan Review) <br /> ooscriptionorwa�ktoBeaone: �nStallati011 Of a S2CU1'It�/ S�/St2Rl <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I bareby certily t1�af I have read and examined fhis application and know the same fo be frue and �1� u� -�J <br /> corrocL All provisrons o1 faws and ordinancss governing this fype o!wak wrll be completed I � <br /> wha(her specil/nd hsroin or not. The granfinp of a permd does not piesume to glve aufBonty to <br /> violafo or cancel fhe provlsia�s o/any other s�a1e o�focal(aw regulahng consfrucGon or the <br /> pedormance oI cons(�ucfion. That 1 am authonzed by ths owner o/thls p�operty to perlomi the <br /> work lor whir.h applicat/on rs mads and I comply wifh the Stato Contrac(urs Law 1827 RCW and <br /> 296200 WAC. <br /> Sipnatu � o� e �� <br />