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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 7 5 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org 7 _D�59 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM 1'0 4 PM <br />/nC(l go <br />�l , Sit <br />PROJECT ADDRESS <br />Owner <br />Mall Address <br />City <br />State/Zip <br />Phone <br />; <br />`/f� ly)4 <br />/1z'* eAk—) <br />xa4p / <br />yas-9/v-S/" <br />Tenant <br />Mall Address <br />City <br />State/Zip <br />Phone <br />AvIxic„ Nilei>y <br />�N�, �& &Ys%s6 <br />,�yc �evmc <br />Cc� <br />9d�i6 ;5'/;; <br />Electrical Contractor <br />Mail Address <br />City <br />State/Zip <br />Phone <br />f �tC /FSr as-1Z <br />Stato License Number <br />Proposed Use of Building <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: 1-61t) Ilyl71dSkVe'-1-7 J" ,6�✓'CL f <br />140TE: 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 />I hereby certify that I have read and examined this application and know the same to be tnie and <br />conact. All provisions of laws and orrhnances governing (his type of work will be completed <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel (lie pprevisions of any other state or local low regulating constniction or the <br />performance otconsrructlon. Thai I am authorized by file owner of this roperty (o perform tho <br />work for µw1rich application is made and I comply with the State Contractors Law 18,27 RCW and <br />29G.20 'WAC. <br />FEE <br />I— <br />