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( <br /> ELECTRICAL PERMIT At�PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 7033 /� �/� / <br /> �►� ( '1cYSe�, � <br /> --� <br /> PROJECT ADDRESS <br /> ��� r.r Sc+.v� <br /> p�y�ef Mall Addroas Gly State/Lp Phone <br /> Tenant Mail Addreee Clty State/Lp Phone <br /> , - S Isf c 1Y k� 9du8 N7s'-337-�'r <br /> EI clricel ConUeCl Mall Addresa City F':ielLp Phona <br /> ACdti� �L c <br /> Slete Icensu Number Contract Price ot Work <br /> 7�w� f I;�,� s ��h.�w `t:,�.,�.�__ <br /> Proposed Use of B Iding Contacl Person (Plan Revlew) <br /> Ueacdptlon of Work lo Be Done: i `� � "' Yin o r <br /> NOTE: WIRING IN NON-DWELIINGS IS RE�UIRED TO �E <br /> BE IN RACEWAYS, MC ORAC CABLE. � � � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby ceRlfy fhaf 1 heve reed end exemined thls appllcatlon and know Ihe same to be frua end r I 2�v V Z� <br /> corracf. All provlslons ollaws and ordlnences poveming fhls rype of work wlll be complefed [_ <br /> whefher specl0ed hereln or nof. The g�enUng o/a perm7f doas nof presume to plve eufhorffy fo <br /> vlolefo or cencel theI�rovlslons ol eny olher sfafe or local law reguleting conshucdon or fhe <br /> performance o/constructlon. That 1 am euthorized by fhe owner ol thls property to pe�lorm fhe <br /> work lor whlch eppl7catlon Is medo and 1 comply wlth the Sfafe Contreclors Law 18.27 RCW end <br /> 286.200 WAC. <br /> �� I/a.h.�L.�)��it�rLc � /0���/Y� <br /> . Slgnat D le <br />