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��. ... i�ri F����:�_ ��,_,u ,_, ae�_�-ahes <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 C[DAR STREET, EVER[TT, WA 98201 //-3 �� <br />425-2,57-8810 - FAX 42.5-257-8857 — wv✓w.everettwa.org `-� <br />APPLICATIONS ARE ACCEPTED FROM e AM TO 1 VM <br />�`�3o�(-a� <br />4102 KucAcr AVE, Evcicu N'A <br />PROJECT ADDRESS <br />Comnwnity 9'ransic ?3001kasch 1'nrA Ruad G��erctt NA, 9R?03 d25-438•6172 <br />Owner M111I A(IE11!59 Ciry Sfnm2ip P�ono <br />Commm�iry Transit 23U0 Kuuh Pwk Ruud L•vcrc❑ NA, 99'_U3 425-038-0172 <br />Tonant Idailluldmss CIry StnidLip Pnme <br />I'rime F.Icctnc, inc. I3301 SF. 2G�h Strcct <br />Electdcal Contractor tdnli Addrr.: <br />I'RIMt1i11340T <br />Stnle Llcenso Number <br />Proposed Uso of Bullding <br />Square Footago (If ro5idonhai new corsUucOon, romotleil nr additian) <br />Bellewe NA.980U9 4?SJ.17-5?00 <br />C�Iy StaldZlp Phone <br />I,000.00 <br />Conlroct Price of Work <br />Tyler Uoyer <br />Conlact Person (Plan Review) <br />Duscdplion of Work lo Bu Donu: �Vc nrc insmlling Community transil pro�idcd readcr IH�aids (zigns) for thc SwiR Smcions <br />NOTE WIRING IN NON•DW[�LINGS IS RC-QUIRED TO <br />BC- IN RACEW�YS, MC OR AC CABLE . <br />ICITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />iI bnruby cortily chxt 1 heve iead and oxnmined Ihis appGcaflon and know fhe seme fo bo Mua ond <br />correcf. AU piovisions ollaws antl nn9Linncrs povmnrnr� flds typo o/ wwk will bo complotod <br />whefhe� SpoC�hod horoin oi naL Tho gi�nlmg o/ B ptl�mrf do05 nol piesume fo give aufhonty ro <br />Ivrofefo or cnnco/ the provlsions ol any othe� st.afo or locaf law toguloflnp cnnshucNon or fNe <br />pe�fom�unca ul conslruchon. That I am ou0iorized by thu owner ol this proporty fo perlorm fhe <br />work lor whlch annlir.nllnn is mnde and ! comolv wlth Ihc Sfalo ConVac(ors Luw 7827 RCW and <br />�3 <br />FEE <br />50.UU <br />� I30 �}--O I Z- <br />aii� <br />