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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 to/ `a �- 06 <br />425.257-8810 - FAX 425-257-8857 - www.everettwo.org <br />Cd6o6- l5v <br />APPUCATIONS ARE ACCEPTED FROM S AM TO 4 PM <br />ZouTH <br />PROJECT ADDRESS <br />CAIZL i LAUOeA Vorsr zoil -7yn4 5r 56 i5yaEtT, UJA 98203 N&348-761-7 <br />Owner Mad Address City Stale2p Phone <br />Tenant MoO Address City Stalsl7p Ph" <br />C15CO 916-CRIC01w. atz Cm"p AV6 6VE)2Er(um 98to/ (yZ5k5q-66y9 <br />Electrical Contractor Mae Address City Statsap Phone <br />C3:sc0E3:00i0M 0z-77N.00 <br />State License Number Contract Price of Ab* <br />Q6�5IDENnAL _ <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: NEW 700 �'Y>7� P�/EL s 945WI AE <br />M*IN F1409 U VIAl-a&NIN6 AQEAS (Y.50 .1,9 rd <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY % EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hemby certify that 1 have road and examined Mrs application and krrow the some to be true and <br />correct All provisions of laws and ordinances goverrarg this type of work wLt be completed <br />whether specked herein or not The granMg of a permit does not presume to give authority to <br />violate or cancel the provisions of any other slate or local low regulating construction or the <br />perrormance of construction. That I am authorued by the owner of thls M to perform the <br />work for w:+rch application is made and 1 comply with the State CorMraclbrs Lew IS 27 RCW and <br />296 200 WAr. <br />(01Z11,960 <br />pnaN� re ?'Lime <br />SIC r: <br />