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ELECTRICAL PERMIT APF LICATION <br />CITY OF EVERETT PERMIT SER FICES <br />3200 CEDAR STREET, EVERETT, WA 98 1 <br />425-257.8810 - FAX 425-257-8857 — www.eve ttwa.org <br />APPLICATIONS ARE ACCEPTED FROM S AM T 4 PM 6 —O S —1 Z <br />��zo6-o35 <br />PROJECT ADDRESS %!AR <br />(ywnorG Mall Aodrass� <br />City <br />Phone <br />— - City StdalZlP Phpw <br />Tenant Mail Address l <br />,- `1 icl LIP jN u3ccj v3AL <br />Stat&7JP Phone <br />0 <br />Electrical Contractor Mail Address City <br />m� <br />Contract Price of work <br />State Licenvo Number <br />ntact Person (Plan Rovbw) <br />proposed use or Buildinu <br />� Uf�S <br />DascriPlion of Work to De Done'. <br />r <br />FEE � <br />NOTE! Bf INRACEWAYS MC OR AC CABLE <br />� <br />TO 5O <br />f�X <br />CITY OF EVERETT LOCAL SALES TAX CODE 18 3105 I l �3 <br />I horeby cmttlY toot I he vo reed and arominod this opplioafion and k tow the same to her end <br />currarf. All prowmons oy laws and ordlnencea povernmg this type opt work will be rwrnplef <br />wolafo ur rar uPl Iho pyovrulons ofY olfier afLt/e orak�caIA�$ naulufr n9 conahuchon oi( to <br />porlor nanoo 0 Ions rovisi . That I am authonad. by tho ownerol this properly to Pador, r the <br />or 2or WAS application Is made and I con <br />wAn die Sfefa Conlmctors Law 1E.27 R and <br />~�idnalwa <br />Td WHSh:TT ZTOZ SO .unr S6B594L5Z1:,: 'ON Mid OIJI3213 SUOS 8 PUemOH 101a: W08A <br />