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No. 3108 P. 1 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT. WA 98201 7 _ a 6 — t z <br />425-257-8810 - FAX 425-257-8857—www.everettwa.org CV7207_135 <br />APPLICATIONS ARE ACCEFTED FROM 8 AM TO 4 PM <br />)631 walnyi Sfmzt <br />PROJECT ADDRESS <br />�Qql �y�c> Comnw�ial Ci. rn'r��—� <br />owner Mail Address Ciy SatelZip Phone <br />ds 8 <br />7a� kAtrin. ,- cl 317 <br />Te nt MadAddress City Staic/Zlp Phone <br />VC5C0 10t( 'C 11167 ► Gt se I a. ilk) ca t- 3} 4y�, rd <br />ElecItic6l Contractor Mail Address Clty 5scelZip Phone <br />VPY ()L1912 100 <br />Staf License Number Contract Price of Work <br />Go-, 6hJ+0n Uri5�i Ccrjw) <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: P YffY1r1-Vf i° X 1 S�� Y1 S,1_�.(��f 1 �f_���r' <br />✓� �I e � i <Yl Lt r] NF r� ,W,) r�r'� L ��-1L�f" �ia±it: <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE S� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 l <br />I hereby certify that I have read and examined this application and know the same to be true and E 12-O T— I - <br />correct All provisions of laws and ordinances goveming this type of work will be completed <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />porformance of construction. That 1 am authorized by the owner of this property to perform the <br />work for which application Is made and I comply with the State Contractors Latvia 27 RCW and <br />296.200 WAC. <br />Signature Date <br />