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� . <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, F�/ERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everellwa.org <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO�' PM <br /> V w`X' 'D — a�1 � <br /> V�� L— a-3 b <br /> � `f l 5 �a C�s; .�� vz.a w d ��� �f --v�,fi �- � -. <br /> PROJECTADDRESS � — `�G'j <br /> �; ��c ���,� yzs 3 � �-o�a a <br /> Owner � Mall Address Clly Stale2lp Phone <br /> Tenant Mall Address �2 ///. O[���Y Slalo/Zlp 3��Ll'��^ <br /> �l (l' (S <br /> �L�e � I e clr�L �� 15o i � lo I 5-+- A-v-� nl�. �—I �tic�%,,��, ' S—`' ( <br /> Eleclrica�ConUector Mall Addross City � `� Slale/Zipw� ✓ �ho�e <br /> t�'L L S T�l v o '-�� Z_ 3 a o a . � <br /> Stalo Uconse Numbcr Contract Price o(Work <br /> Proposod Uso ol building Contacl Person (Plan Revluw) <br /> � / ^ p <br /> � u�p��L1G�.."T�CJ^�+1 <br /> Doscripllon ol Wor4:to De Done: �� � � I '`-�� ��`� <br /> __�___y_—mr��� r I-�-f�c_,�o �' s Pp_r- .� �n � -� <br /> NOTE: WIRING IN NON-DW[LLINGS IS REQUIRED TO FEE <br /> �E IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily Ihnf 1 heve rend end examineAthis opplicntion end know fhe samo to bo Vuo end � C�� � � ` ,` ^� <br /> coirecf. Al/provisions o!laws and orrlinancos poveming thls typo ol work wlll ba complofed V � <br /> whether spocl/ieA hernin or noL The granfing ol e pomuf does nof presume to g)ve aufhenty fn <br /> violnfe or concel fhe/novrslons of nny olher smfo or locel law rogulafing conshucfion or Ihu <br /> peiforrnance ol r,onslrucfion. Thnf I om auP�onzed by fhe owner o!fhis proporly to pedunn fho <br /> worh !or whi �plicnfion is mndo ond I comply wifh tlio Sfnfe Confracfocs Lew f 0.27 RC W nnd <br /> ;9f?00 lh' . <br /> --� �� ,3 <br /> SiF�nalwe - Data <br />