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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 <br /> I/��� n � ('nc; nn KC1 �-VP1'P�_�J 1 <br /> PROJBCT ADDRESS ^2� , �g. �-��j`j <br /> `-1 <br /> �r1dYe� �nnc��a v� II�I t(��'' St SW # � EVomi�- \N� �1�2(�� <br /> Owner Mall Addreee <br /> City Stele/7�p Phone <br /> Tenent Malll,ddreee <br /> Cily Slele2lP Phone <br /> Electdcal Con r Man A ese <br /> Clty Slale2lp Phona <br /> Contract Price of`Nork <br /> State Licenae Number <br /> ��77��i�i Contact Person (Plen Revlew) <br /> Proposed Uee of Bullding <br /> Descrlpllon ol Work to Be Done: <br /> NOTE: B IRN�C wAYS MC OR AC CAB EUIRED TO <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE 19 3105 r I f L�'� _ �� I <br /> I hereby certily thet 1 heve reed end exemined fhls eppNcellon end know the same fo be frue end �-- <br /> correct. All provlsions ollews and ord7nances goveming fhls type opf work w���be completed <br /> vl olafeBor can el�he�Piovlslons�o!eny othe�r sfata or local�aw reguletlnp consfrucflon o(fhety to <br /> peAormance o/construcNon. Thef 1 em eufhorized by the owner ol thls property fo peAorm fhe <br /> 296 200 WAC.eppllcallon Is mede and 1 comply wllh fhe Sfafe Confrac(ors Lew 18.27 RCW and <br /> _ , � /5 <br /> � C �e , —� <br /> ipnature <br />