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--� —�. <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S7REET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> y_a�,-iz <br /> APPLICATIONS ARE ACCEPTED FROM 3 AM TO 4 PM ����_�0�/ <br /> .Qq� �i�re ree��a''1� <br /> PRWECT ADDRESS <br /> Gwner Mall AtltlrgS6 City StatelZip Pnone <br /> </2s.Zr1-926t <br /> c - g5� 9919 &�►nuh l�i ��.►-�� wa ��-Zo3 <br /> T Itant Mail Addrecs Ciry SteteJZip Pnone <br /> l��k �Dn�iv�s, �c f�0. �c�X 25/� �ua.�aTi'h, 012 q�ob2 so�-6yl-9eo2 <br /> El�ectrical Contrador Meil Addres� City Stete2tp Fnone <br /> �Irr�K cl� 4�a,i4 .�i�. �— <br /> Stete License Number ConVect Price of WoAc <br /> Propased Use of Building Contact Person (Plan Revlew) <br /> Descriplion of Work to 6e bone: LY1SiAII ClJrl�./G� $b�,w� oN d1�C Y/t t.�� �-'VQ C vl1� i-•/Ov <br /> 'A- t i <br /> Y/`�- ,�11o4�1Y1 A +� U/1 i�. - .__..._ ._�_.. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RAC�IAYS, MC OR AC CABLE. �� s (� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ce�tily thet I heve read and examined this applicallon and know fhe same to 6e hue and E � 2� f�� <br /> CorreCG All provistons ol/aws end ordinances,poveming this type of work wili 6e completed <br /> whefher speci�ed herein ornoL The granfing cf a permd does not presume to give aufhonty to <br /> violateorcancelthe provisionaofanyotherstateorlocallawregulatingconahucUonorMe <br /> peAormence of consWctio�. That!am eufhorized by the owner of Nis properry to peAam the <br /> woric for whlch application is mede end 1 COmplyWitb the SYate ConhactOrs Law 18.27 RCW and <br /> 296.2 C. <br /> � �{��'01 ('L.. <br /> ' na ure Qate <br />