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i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERE"T 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 <br /> 0�17 1CDC.-lC�'c'���✓ �-VE <br /> PROJECT ADDRESS <br /> F� u xw �Tfl l.(.C.� �-7�7,P�.k�16�- ,4� �i.�P�, I,U�: �t�a�l �Yzs-a�a-a�o <br /> Ownor Mall Addroas Clty State2lp Phone <br /> ��c�����na7�5 ��7 �t�0erl�/F F�erw�l,($. �P�l yas ara�-�era <br /> onanl v Mall Address Clty Slatorzlp Phono <br /> L��;� ����.� 7��� , nn �ad F��r� (�� 9,��3 �Izs-7��-s-s-�s <br /> tlectrica Co treclor Mail Addross Ciry T Stato/Zip Phone <br /> f I � �� �`J �C� ��/(� �QV <br /> w <br /> S�ele Licon a Number Cantra t Prlce oi Work <br /> �S(ne�S i�eS � <br /> Proposed Uso of Building Conta Person (Plan Revlow) <br /> Descriplion of Work to Be Done: �_l'1 S I � � l I� � ,� { �'- .3'' ivi rr'nq rac�a:� ►�l� <br /> � <br /> 2�"�f 1 r� '� ��JeK/ � <br /> il <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, tu1C OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> /heroby ceriily fhat 1 have reed and exemined thls applicaflon and know the same fo ba true and <br /> correct. All provisions ollaws and ordlnancos goveming thls rype o(work wih be completed 1 <br /> whether specl�ed herefn or not. Tho granting o/a permit doos not presume to give authonfy to <br /> violete or cancel the provlslons o(any other stafe or local law rogulafing construclion or fhe <br /> performance o/conslruction. That I am authorizod by iho owner of this propeRy to pedorm fhe � <br /> work Ior hich application ls made and 1 comply with fho Sfafo Contrect.rs Law 18.27 RCW and / <br /> 296.20� AC. �� <br /> / �, � �� � oe�a i <br /> �' <br />