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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />911 a 6alu Lane, i ✓lie' d <br />PROJECT ADDRESS (..0'r 5 <br />AR�su� 1-�am� lola� E✓¢rgrEen l,�fa5-y�3 �✓ercft !,t)a �18arx� ��' y� �'9`� <br />Owner <br />Mall Address City Staleop Phone <br />Tenant <br />Mail Address <br />City <br />stawzp <br />Phone <br />%dd�s <br />��¢cfrfV c. aaa8-l3Dt� br 46 <br />ILK iS f)M6 <br />Uk i8a98 <br />425399-9i <br />Electrical Contractor Mail Address <br />City <br />Stateop <br />Phone <br />GEDb� ES �q ► R r� <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done: <br />Mir <br />NOTE: BEIRIN REQUIRED TO <br />RACEWAYS, IMC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Contract Price of Work <br />Zia_ rahRq 2nar-di,41 d'nNoc <br />CAAr:tad Person (Play, Redsew) • ElC e I <br />Ktl.nd r� Gtddrs - C� fd,s <br />Ct� <br />I hereby certify that 1 have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether speca0ed herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That 1 am authorized by the owner of this mperty to perform the <br />work for which appbcation is made and 1 comply with the State Contractors Lew 18.27 R.CW and <br />296.200 WAC. <br />FEE <br />35. <br />