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Jan 20 1103 06p Corridor Electric Inc 360-862-8150 P.2 <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 />C-liar <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />7 C' ) 2� � <br />PROJECT ADDRESS <br />Owner Mal Address City Slatc¢Ip r'hone <br /><�S wn E 6 0 Yt-1- 1 l (I If <br />Tenant Mail Address city Slalelbp Phone <br />3toT) <br />(oF�Ri�2�i�(.Ir�L-�CE� IYu9Pl.�{9-Y� �ifiYn�1f6�Fr�l�L`lG g(�olROba1 <br />Electrical Contia for Man Address city Slatelz p Phone <br />('�ok1e:F_E:j:P1ej /4po I'D df`6 0,- <br />ate License Number Contract Price at Work <br />�1e 1 e-1 I DEN ri <br />Pos roped Use of Building ' •(�t� jCConttac\trPersonn (Plan Review; �{ �"' <br />Description of Work to Be Done: �UV �� P t/V O\ RK D /\ye a (TL`SJ <br />"F -PtkfflP -1 P D SS I Ise 9 LE EK i « Obt Tc_E l <br />v <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO f EE <br />BE IN '<ACEWAYS, MC OR AC CABLE. <br />CttY OF EVERETT LOCAL SALES TAX CODE IS 3106 — <br />1 hereby eertily that i have read end examined this application and know the same to be true and <br />correcl. All provisions of laws and ordinances governing this typo of work will be completed <br />whether specified herein or not. he granting of a permit does not Ppreresume to give authority to <br />violate or cancel the provisions any other state or local law regur ang construction or the <br />peKonnance of construction. That I am auihanzed by the owner of thn PProperty to perform the <br />work for which application is made and I comply with the State Contra nora Latr 18 27 RC W end / <br />296.200 WAC. (6" <br />5i�yz�— <br />Signature Pate <br />