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. 1 — — <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 I�- a-9 -a � <br /> 425-257-8810 - FAX 425-257-8�57 - vra✓v✓.everettwa.org L.:D 7//�-151 <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br /> v ��� � ('��'r)i/�tY� l/ <br /> PROJECT ADDRESS <br /> Owner tdail Address City State2ip Phone <br /> �� I // �dlc <br /> �I�U' 3.)ll� /_7ro.t��iJ�u /'llltc lT �.J/� ��ld% �9G - `1�i X <br /> Tenanl Mall Atldress City Staterzip Phone <br /> � / / 1fJS <br /> �nticf�a;� Q/1� �!� S /�'D��r �C�„� /.d/� �1YD.31 ��1���/.3�. <br /> EIeCUICaI ContfaCtOf Mall Addresa City Stale2ip Phone <br /> �/laTCa/�a3.� l�P � /1a�. v� <br /> State Licenso Number Contrect Price of Work <br /> Proposed Use ot�uiiding Contact Person (Plan Review) <br /> Descriplion of Work lo Be Done: � Il� V L� i T" d"t-� � l� �o m m <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I here6y certily Ihat I havo read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type ol�vork will be complefed <br /> whetherspec�6ed herein ornot The granting o/a pemut does not resume to give aufhonty to <br /> violate or canr.el the provisions o/any other state orlocallaw reguPating construcfion or the / I <br /> peAormance o�consWcfion. That 1 am aufhorized by fho owner ol fhis property to peAorm fhe �� <br /> work for which applicafion is made and I comply wifh the Stafe Contractors Law 1Q.27 RCW and � <br /> 29G200 WAC. <br /> � � i <br /> ��'� L��� '/�./ � <br /> Signature Dato <br />