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Sep 03 08 02:53p Corridor Electrl^ Inc 3608628150 n.3 <br />i <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 y�3—O� <br />425-257-8810 - FAX425-257-8857—www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />yCaa jAA[j_ JO ` 1�11KS P 0.►3oX I LyNN�w�t�; w) �SouE• �Z�-7�{I - <br />Owner Mail Aedress City staterzip Phone <br />Rom► L. - 0 6E bG7--EzM 11\16�D <br />Tenant Mail Addmss City Slaterzip Plmne <br />3Go -��� <br />( fci ��rTi�l( NL 4D� M+1r�E AN(r� t .SN�txn�r/I cog �8�io fob a. <br />Electrical Contractor Mal Address City Stre/Zip Phone <br />('QKkTE -9`13 / i ( <br />Slate License Number Contract Price of Work <br />%e-Tw L— �"JEV& &(�MAM <br />Proposed Use of Building Contact _Person <br />//(Plan R1e(mew\) I <br />Description of Work to Be Done: to 50-7C.1E <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 />1 hereby certify that I have read and examined this application and know Ole same to be true and <br />corracf. All provisions of laws and ordinances governing this type of work will be completed <br />" het 10, specified herein or not. Tho granting of o permit does not PPresume to give authority to <br />violate or cancel the provisions of any other state orlocal law rogufating construction or the <br />performance of construction. That t am authorized by the owner ofthis property to perform the <br />work for which application is mode and I comply with the State Contractors Law 18.27 RC W and <br />296.200 WAC <br />Skgnalum• \� Dale <br />_..� COm-VjC) <br />