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Aug 18 10 09:29a Rob 425-334-7056 p.2 <br />I <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8610 - FAX425-257-8857—vnw✓.everetiva.orq <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />Q33�3 I� n:-�;M, 60L <br />PROJECT ADDRESS n <br />EL <br />Owner Vail Address CCy Stoltrzp Phone <br />Tenant Vail Andress City slale/Lp Phone <br />• 77 1�^1 Zj C _l fir` f i� �r1� iL:21 .L1.ic" �t� �k^_r{� IT i:S <br />Elecln'cal Contractor Vail Address City stale.¢ip Phone <br />5 CIV <br />State license Number Contract Price of Work <br />Proposed Use of Building Conla=t Person (Plan Review) <br />Description of Wolk to Be Done: <br />j <br />l <br />I <br />I <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, 1.10 OR AC CABLE. <br />i I I <br />CITI' OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certifv t7at I have read and e,,mmined th!s application and know the some to be r-w and it ��7y " I IS <br />correct. All provisions of la,s and orcina--es gove tang this type of vcr:: will be, =ample --d <br />wnether spaciled herein o, no;. he granting of a permit does no; presume ;a g:),e author. y to <br />violate or c_ncel the prov;sions of any other state or Ieca-. law reouiating censtruaion or me <br />bertormance of �r.strucLen. That I am authoisd by Jh cwner or this propery to ppeerfcrm the <br />work rnr which application is made and I comply %ti4th the Stale Contractors Law 18.27 RCVV and <br />i 296.20WA . <br />I <br />