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� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SEQVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 /0�-�7 �i <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org ���/O`O aZ <br /> APPLICATIONS ARE ACr,EPTED FROM 8 AM TO 4 PM <br /> ����) Z �i('� '� 1 � S � <br /> PROJECT ADDRESS <br /> � � ,, ., -- <br /> � <br /> Owner MailAddross Cily Stale,7lp Nione <br /> K�y �,ni,K '' — <br /> Tenar�l Mall Address City Stalo/Zlp ���o��o <br /> 425� �c�} I4S <br /> 1����icld (�d �i S.Z G4 �ti Sa k�k� W b � 6t� 3'Z <br /> EIcr.Iricai Conlractor Mafl Address Gly SlalelZip Phono <br /> T) IFi?��� �'c �7 � \ S G'CU <br /> Slalo Liconse Number � f,onlracl Price ol Work <br /> eF� S��I�•, - `�LS S� , IYSJ <br /> Proposed Uso ot Bulldiny Contacl Person (Plan Revlew) <br /> DescriplionolWorkluC3cDono: �✓i1�j�l Vi[�eo _� C��� .�[Nc � . <br /> NOTE: WIRING IN NON-DWELLINGS I i REQUIRF� TO FEE -� <br /> L3E IN RACEWAYS, MC OR AC CABLE. <br />� <br /> i <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS a105 <br /> 1 hei�by cerfil��fhrit I hnvc re�id and rxnrnined fhis npplir.nfion und know fhe so�ne lo bo frue end <br /> cormcf A6 proi�isions o/l�w:s and nniinnncrs povenung fhis fype e!worh will be complofed <br /> whefher spodlied he�cin or not. The r�ranlinp o!a porrnrt doos nof �resumo lo givo outhonty to � <br /> vielnfe or cr+ncrl flre provisions oI eny othor sfnfe o�local law rer�ulnting consVuchon or(ho ��1, <br /> perlorrnance o(consfruction. Thal l om eutho�veAhy 8ie owner ol Ihis property fo perlonn U�o � ✓ <br /> wnrh fer which npplict�fion is rnaAe and 1 cornply �tiifh fhe Sfafe Confrnctors Lew 18 27 RCW enA �D <br /> as�r,zuo wnc. � I ) <br /> � C <br /> _ ������_�_''_'�_c1���%�� - <br /> u,��,,,����� � uma <br />