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- -- - - - - ,,� -.; ';� .. ��OIIGQ. <br /> :_. .� __._ •-_ -. .. .... ... . . .. <br /> ELECTRICAL PERMIT APPLICATlON <br /> CITY OF EVERETT PERMIT SERVICES � --��-t2 <br /> 3200 CEDAR STREE i, EVERET7, WA 98201 t ��q �p°� 5 <br /> 425-257-8i110 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> 170G 13lh St <br /> PROJECT A�DRESS <br /> PP,�dCE 7700 13th St Everell.WA 96201 <br /> Owner Mall Address Cily Slate/Zip Phono <br /> PRMCE �700 131h SI Everett,WA 98201 <br /> 7enOnt Meil Address City SlatelZip Phaca <br /> VECA Electric PO EOX 80467 SeaL[le 47k 98109 206-936-520G <br /> EIOCItICaIGOnlradOf MeilAddress City Stalo2lp Phone <br /> 5800 <br /> 'JECAEC1592�'•U <br /> Stale License Numt�er Contract Price of Work <br /> Nancy Dcmont <br /> Commerdal <br /> Propnsed USe of Building Canlact Person (Plan Revieev) <br /> L1�-a\ l � I <br /> �escription of Work to Be Oonet Extend(4)cirwits to inctall(4�new 20A outtets N�8 i 1868 - � �`�.�,,,_�7 2 ; y <br /> . L��"�' � �i 3 <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> GITY DF EVERETT LOCAL SALES 7AX CODE IS 3105 <br /> L � <br /> 1 hereby certi(y Ihal 1 havB�ead and examincd thls appfic�tion and know the same to be WC anG r . I�i..) j - U� C <br /> correct. All provisions o�laws and orclinances govemmy lhis type of work wil!be wmpletea �� / <br /> whothor speciliod horein or r�ot The flranfing of a permrt does not presume to give aufhonty to <br /> violato or cancol fhe provis�ons ot any othor state or loea!law re�ulatine�consfruction or the <br /> poRormance o�const�u,chon. That 1 am authorized by tho ownor o!this propsrty fo pedorm the <br /> work lor which applicatmn is made and i comply�vifh Ihe Stafo Gnnlracto/s Law I8.27 RC W antl <br /> 29E200 IN�C. <br /> , �� l�� I� <br /> — si�n tui' � _ -- �a�e <br /> � <br />