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01/19/201" THU 8:27 PAX 425 988 6501 Sea_Sales_Copy <br />Z006/006 <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.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />9--slat clAxt, f)v�. <br />PROJECT ADDRES <br />8((J'X' 1-- 3 ktn ct>oj1-15n c,t9-t) i <br />Owner MOD Addie5i CRY Stala/zlp Phone <br />?�,t1S r�r�c1>z J6'8 ('i�lh.,19uz- L; rr.-A+ W7� S�'301 Cti:73�J5 uG,, <br />Tenant Mail Addles City Steloop Phone <br />Mail Address <br />nfr(✓f c1sva1'j(3f3 <br />Stale License Number <br />Proposed Use of Building <br />CRY Slale2lp Phone <br />ADI5,ito. cke <br />Contract Price of Work <br />L7, Pu\ •1'F ay) k.•e.l-c <br />Contact Person (Plan Review) <br />DoscripllonofWork toBeDone: 1-1OL[7C LI J t, (,Lft4AJ- k L.J/ wI#-VA `+3-3 IthIL^ IA i�^'!(VA, <br />rnah&n de-VaA-&-s' CO3V?-L (a) hard Wirc(A c.2larlyN <br />i 1 { <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 ----- -- <br />I hereby certily, that I have read and examined this application and know The some to be five and U U(o <br />correct. All provisions of laws and ordinances governing this type of work will be completed i 2 <br />whether specified herein or not. The granting of a permitdoes not resume to give authority to <br />violate orcancol the provisions of ony other state dr local law reguPting construction or fho <br />perfo ante of constnrction. That I am authorized by the owner of this property to perform the <br />work I r which epplc tion is;fnatle and / comply w7h the State Contractors taw 18.27 RCW and <br />298.2 OJWAC. 1/Y/lilt <br />