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�� <br />ELECTRICAL PERMIT APPLiCATION <br />CITY OF EVERETT i�ERMIT SERVICES <br />320�J CEDAR STREET, EVERETT, WA 9620± <br />425-257-8810 - FAX 425-257-8657 — www.evereriwa.org <br />APPLICATIONS ARE .ACCEPTED FRUM 8 AM TO 4 PM - DEElIT 3 CREDIT CARDS ARE NOT ACCEPTED <br />yc�a�-� R�u«2 ,4vE. �v��r7; �,�,� 9�aoti <br />PROJECT ADDRESS <br />�2F.t7 KEh'Ol2iG!< 3c23 N� xS��' ;{, �,,e fll� CUR 98/03 0206- �cY`�-0�00 <br />Owner MaiIACCress Cily State2ip �+ry�e <br />E�cv;�,� TF�2�v;ur'n scr�a F�pr�a�P�,� I,�n <br />L-✓c�e�7r wQ g� ,vas- <br />Tenant Mail AGdre�s <br />KvECEcrrrc Co�R P, <br />Electrical Contractor Mail Aadress <br />_;�v��Ec �q�acJ <br />State License Number <br />rAx sE���r� � <br />Proposed Use of Building <br />Descriplion of Work to Be Done: <br />3 <br />y - av� �YZ-�,� <br />CiIY Slate2iP Phone <br />>�/v�Na ws 9�a�� vas-so3S <br />City Slate2ip php1e <br />�iao, on <br />Contract Price of Work <br />Contac� Person (Plan Review) <br />AY�ne�r Ex�sr <br />c� � 5/GN - <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />� /N <br />1 hereby ceni/y that I have read and examined this application and know fhe same (o be frue and <br />correcl. All provisions ollaws and ordinances goveminq this type ol worir will be completed <br />whether specdied herein or noG The granfing o/ a permd dces not presume to give aufhonty fo <br />violate or cancel the provisions ol any other slate or local law regulafingpconstrucfion or fhe <br />wo�k !o rwh ch applic tioo�s ade' and 1 cormpty � h the Stafe Contra�c(ors� w 18.27�RCW and <br />296.200 WAC. <br />Gl/ <br />