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MAY-22-2006 MON 03:31 PM VECA ELECTRIC FAX N0, 2067630506 P. 01 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425.257-8810 - FAX 425-257-8857 — www.everettwa.orcg <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />'1Dq Wt S+ sw <br />PROJECT ADDRESS <br />Yyl zj!7o!kAxzlip f 1 I 1p i�Ur1t;r�crir� i , mote► , NA o2 <br />Owner Mail Address City state/zip <br />Tenant Mail Address City StatelZip Phone <br />Electrical Contractor Mall Address City state/zip Phone <br />State License Number Contract Price of Work <br />�P(;(�YY1rN.Cu'l a 76xti zLc� <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done _-..IleoP�2-« Liar— 4� <br />NOTE. WIRING IN NON -DWELLINGS IS REQUIRED TO I FEE <br />BE IN RACEWAYS, MC OR AC CABLE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />1 hereby reriify that 1 have read and examined this epplicallon and know the same to be true and <br />co"cl. All provisions of laws and ordinances 99oveminc this type of work will be completed <br />whether specified herein or not. The grar,fin 6f a permit does notp resume to give authonry to <br />viol?to or cancel the provisions oy any other 3tato or local iaw neon tipg construction or the <br />pre ormancer of construction. That I am authorized by the owner o�this property, to peA9mr the <br />29 200 vAC. application is mado nd I Comply with the State Contractors Law 10 27 RCW and <br />ianilUlP al� <br />Ila <br />� G1oS-lSL/ <br />