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� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8B57-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br /> '-` g 16 f-� � C—�2 .4v r' <br /> PROJECT ADORESS <br /> hsr 2���,�avFrr,� �-yB�c� i���� a��. ,� ��k,T t�,n �f,z�� <br /> Owner Mall Addross Clty State2lp Phona <br /> Tenant MallAddress Clly SWte/Zlp Phono <br /> l� �.h .CuEcrn: � r�.� Po- �3��- z�� � �-Yn�.v t.�.�, 9�o3G �rzs-�ya-�cs- <br /> Eleclrical Conlractor Mau address Gry Sta�e2ip phono <br /> IJhE�� h�_ 9yoi�h �2 ,3�- � <br /> State Liconsa Number Conlrad Prlco o(Work <br /> 2��S z n�:n. �>? 2nn�ov ti.tFf- <br /> Proposed Uso o(Bullding Conlacl Person (Pl�n Reviow) <br /> Description ol W ork to Oa Dono: 2 E �+•1 R.R- � y f� )'O lNA T�/L D nr�,n G.,,E <br /> NOTE: WIRING IN NON•DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAl(COOE IS 9705 <br /> 1 heroby cortily fhef 1 hnvo road and examinod fhis npplicotion end know Ihe same to be huo and <br /> conect. All provislons ol laws end orAinances govoming fbls type ol work will be complefed <br /> whothcr spoafioA horein or noL The grantuip ol e permrt does nof presume fo glve aufhonty fo <br /> vlolaf�or cancol tho provislons ol any ofher sfato or locnl law regulafing consfnrctfon or the <br /> pedomienca o/construction. Thaf 1 em aufhonzed by fho o�vner ol fhls proparty fo podomi fhe <br /> work/or which epplicafion Is mad�end 1 compty with fho Sfefe Contractors Law f8.27 RCW and <br /> 296.200 WAC. <br /> C� 6 Z_L S- 1 O <br /> . Signa i Dale <br /> �p�,a-� l9 <br />