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u�izaizou� ia:;f� P:�.� 4z5s:f578SU VARNELL ELGCTRIC <br />1Q00?/002 <br />ELECTRICAL 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 />3 -a S--�I <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM (J. O�I d3 / Z� <br />� s1 �� I�1 +� S, r <br />PROJECT ADDRESS <br />Owner <br />iJ < ,., ; ��. —U <br />Tonant <br />�w� �� ���� <br />Eiectrical Con(ractor <br />r o� <br />Mall Addrass <br />Mall Address <br />Mall Addrass <br />�2�tr-E ?-�7�� � <br />Slate Liconse Numbor <br />Pmposed Use ol 6uildinp <br />� �' , 2 <br />City <br />I 9+'' S. r`. <br />Glty <br />s,a_. �iz � <br />City <br />Descrption of \Nork to Ba Done: i! /r _, � r' /.� , f-_ .� <br />M.G-�-� v <br />Slale/Zip <br />Slate2lp <br />Slate2lp <br />�! tS-3y�- y�f�l � <br />Phono <br />'/�•h86' 4�1Z <br />Phone <br />yzs s;5-�bob <br />1 'T 4 S' =� <br />Contract Price of Work <br />Contact Person (Plan Roview) <br />Phono <br />NOTE: WIRING IN NON-�7WELLINGS IS REQUIRED TO pEE <br />f3E IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCqL SAI.ES TAX CODE IS 3105 <br />I l�ereby certily thaf I lrevo reed ono exem/nod thls applicat/on and know ti e samo to be truo and <br />crorrect. A/l provislons ollaws and ordlnancos goveminq fhis type of work w1/1 bo comploted ��('3 —�� <br />whethor speclfied horeln or noL Tho granOng of o pormd doos not rosume to g7ve authonty fo <br />violato cr cancel fho provlsions o! ony other stafe or Iocal law rgguPtingpconstru�tion or thn <br />wo�rk o( v�i�h applrceho�n 1s mol de and I conij,lyedthYtha Stafo Co tra�ctor�pCa� 18.27 RCW end <br />�oa �nn ini n <br />