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�� <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 />C` C� �� � <br />1 � � t u_c �-�- � c � ��- <br />PROJECT ADDRESS <br />Owner <br />�c.-��--� <br />Tenant <br />VECA Electric <br />Electrical Contractor <br />VECAEC1542MU <br />State License Number <br />�n.� M,E �c.�` `� <br />Address � �-��JY� City <br />Mail Address <br />PO BOX 80467 <br />Mail Address <br />City <br />Seattle <br />City <br />C,o�.�,� C�,n� � i n Ltic �`.��-u�A S� C_F <br />Proposed Use of Building <br />State/Zip <br />State/Zip <br />WA 98108 <br />State/Zip <br />��Z�,-Z(�L- <br />Z� � zc��c; <br />Phone <br />+�� 1 r C..���� <br />� <br />Contract Price of Work <br />Phone <br />206-436-5200 <br />Phone <br />Contact Person (Plan Review) <br />Description of Work to Be Done: � Y ls� ���<.-�\ �'L 1.�� �� �� <br />� '� i f f 1�� i1.� '- i,Lt' i� �`C �. � E' <br />C O v1 f�� �� l� Vl� <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 3105 <br />1 hereby certify that 1 have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governing th�s type of work will be completed <br />whether specified herein or not. The granting of a perm�t does not presume to give aufhonty to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That I am authorized by the owner of this property to perform the <br />work for which applicafion is made and 1 comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />ature <br />ate <br />FEE �� <br />��� � <br />� `� � � � �� <br />