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( <br /> ELECTRICAL PERMIT APP�ICATION <br /> CITY GF EVERETT PERMIT SE�YICES S _ �� _�o <br /> 3200 CEDAR STREET, EVERETT, WA 96201 9 �/�O J _O�� <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.or <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br /> 3201 Smith Ave, Everett, WA <br /> PROJECT ADDRESS <br /> � � /ee Securitv DePartment p0 Box 9046 Olympia, WA 98902 (509) 574-0105 <br /> Owner MailAddress Ciry State/Zip Phone <br /> Employee Security Department PO Box 9046 Olympia, WA 98902 (509) 574-0105 <br /> Tenant MailAddress City Stale2ip Phone <br /> VECA Electric PO BO% 80467 Sealtle WA 9A108 206-436-5200 <br /> Electrical Contrac�or Mail Atldress Cily State2ip Fhone <br /> $19, 400 . 00 <br /> vecneci saznu — Contraci Pnce of Work <br /> State License Number <br /> Chris Root 206-696-7467 <br /> Proposed Use of Building Contact Person (Plan Review) <br /> DescripM1onoiWorkto6eDone Low Volta e Cable Install . VC601534 <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CA6LE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> 1 hereby certJy fhat I have read ard eaanuned fhis applicahon and know the same fo be true and � <br /> correc(. All prowsinns oRaw.s anC ordinances goveming Ihis type ol work will be complefed <br /> �vhether spea(ied herein or no[ The gianLn�o!a pemut does not prasume fo yive authonty fo <br /> vrolale or cancel!he provisions ol any other state or local law regula6ng corstruc6on or the <br /> peAormance ol consVuchon. Thaf I am authonzed 6y tho ok�ner o/fhrs property fo perform the T O`/ Q�J <br /> w�rk!or which app6cafion�s rnade and I comply�vith fhe Sfafe Confracfors Law 79.27 RCI�I'and V <br /> 296.200 WAC. � � <br /> l <br /> _.�...- --.. <br /> . _ )-, �r=. -. - � �" i . , �'�� � �, <br /> � .�gnature I , -� Datc <br />