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Dec101001:54p CorridorElectriclnc <br />360-862-8150 p.2 <br />E�LECTRICAL 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 />'f�l i iv ��� u�S7 � d� <br />PROJECT ADORESS <br />�151C 1/J <br />Q.vner <br />Mail Address <br />cay <br />� a -i� iD <br />E��,z_d7� <br />� �i �C�� t <br />SIa1dZp Phone <br />c�Fkl� '1� � � V`� t�i� _ 1( 1( 1� <br />Tenanl Mail Adaress Ciry S1atrJ2� �ne <br />Electriral Contractor <br />COKfZ ��►-�13� � <br />Stale License Number <br />kEb,.�;rsi �� C,� <br />Prnposed Use oi 6uilding <br />� �j d�r�+�(.E �nlvHon�N WA `rL�Z�/v <br />c:ry s���o 3G� b P� <br />SC�`n f1��OX <br />ConVacf Price of Work <br />�� I a�C�r11�1� <br />Contact Person (Plan Review) <br />Desalption of Work to De Done: �' `� Y��� T��'V�' \�v �` Q� "`� ��- �� <br />�l�l�-I L�SS i-L-HT �lAl���• "i�c551 F�,l � ���"✓l C.Y.C/L�� <br />I NOTE WIRINr, IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVEREtT LOCALSALES TAX CODE IS 3705 <br />I hemby cerlity fha71 have rvad and examinedlh�s applic <br />co�rect. Aq provisans ollaws andordinances gvremrng <br />whcfhor specifrod horein or nol. 71re granting Ma ponnrt <br />wofa:e or cance! 76e pravisrons of any o!hor sfale or locm <br />pedormnnceofco.�.Vrur.fi�n, rnatlamau(honzad6ylh< <br />wortr Inr whrcA apPlrcalinn is made anA! compty with fho <br />296200 WAC. <br />�c��� ,�t�j�v�� <br />and know tl�o same ta b� trvo and <br />ype ol wak will De completed <br />� noi nresume ro give authonry to <br />�aulc ting construcLon w tfre <br />e W this property to portorm !he <br />Confradors Law 78 27 RCW and <br />�a_- iv- r v <br />FEE <br />C 1 �, z- o-�-� <br />