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...•.v, Gov, ry.., ., rnn evovaravvt nt IRf\ t.U:\I Kul'_"1.1U. to 002 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 (r <br />425-257-8810 - FAX 425-257-8857 - WMI.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />Fred Vkyo- --- <br />1z9—OL-2WA-1-1 w <br />PROJECT ADDRESS <br />YZ1-3S-7-2coo <br />er� MtYcr 12906 GO I-1'-vWi} Hwy r vere 1}- gZA q$'zok _ <br />Owwner Mall Address City Slale2ip Phone <br />Tenant Mail Address City State/Zip Phone <br />PO• (30X 2SIo TuAiiaLn nR 9-1e6 603-691-9ooz- <br />Electrical Contractor Mail Address City Stale/Zip Phone <br />Ie1yT�K r T 9g4j4 COD <br />Stale License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: t/o.✓iAl�,. SeSL�QIr35 ghlliri� i rt��S• <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 certi/y that 1 have read and oxaminod this application and it"' the same fo be true and ENO <br />correct All provisions ollews and orclinoncos govon" this typo of work will be eamp/etod I—(J 1 y .J <br />own ro <br />whefherspecihed herein or not. The granting ofa pormll does no! ppmsume to give authority to <br />violate or can tho provisions of any other slet0 or locol law regulating constrocfion or the <br />'oni toriwh ch app�roahotn /s made end end I comply with the 8fate ContraclorspLm� 18 27 Rhe <br />CW and <br />296.200 WAC. <br />17f/t � 9 <br />