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�'J��y. 22. 2i�13 12: 15P�� No. 8490 . <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMiT SERVECES <br /> 3200 CEDAf2 STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—wv�nv.everettwa.orc� <br /> APPLICATIONS ARE ACCEPTEU FROM 8 AM TO 4 PM <br /> I� i �3roacic,��� �1�?�1 <br /> PROJECT ADDRESS <br /> �,,��Y'..- P��i�" ��4ruR�.. �J����'� <br /> C�vmer Mall Addrecc CI1y S1ata21p Phono <br /> T'enant Mail Adtlress Clty StalelZlp Phone <br /> e��rt ���� ��G ��►5 8►�d�� Evure�i' 1NA q�?D I �7� ��q cp��� <br /> LleclticalConttac�or MailAddrees Gily Sla!e2ip Phvne <br /> �5� � O <br /> S.��cA►�Nqb�aa — <br /> Stete License Number Contracd Price ot Work <br /> Proposad Use of 9uiiding Contact Porson (Plan Review) <br /> Cescription ol Work l0 8e Done: � ��� � �' <br /> (�� � <br /> , <br /> NOTE; WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> B@ IN RACEWAYS, MC ORAC CABLE. <br /> . 5�0 • v0 <br /> CITY OF EVERE7T LOCAL SAL[5 TAX CODE IS 3705 <br /> 1 horehy ccrfily th�t 1 havo road and oxaminod Ihis application anJ know Ihe same to 6e tru0 and <br /> correct. .111 provisions o/luws and ordii7Ancos go'•emir,p this ry�e of work wlll bo canp/efed � ���''�� <br /> tivhefh5�speciiied heroin or nOt The gronllnq ol a peimd does nct presumo fo give au(honry to � <br /> wolate or cancel the p�ows�ons of any other sfaf�orlocal law rcgulating consfrucfion or fho <br /> pe7omianco ol cons(ruchon. Thaf I am aufhwiz�d,by the mvnerof Ihis propedy fo pet`orm the <br /> work la which applicafion is mado and!compty wdh fho StAle Contractors la�v 1827 RCV✓and <br /> 296.200 WAC. <br /> . t i ��a � c� .— <br /> Signelure � Date- <br />