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ELE�TitICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 `'���Sl�/ <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> E I I�U"!J�°$ <br /> APPLICATIONS AR[ACCEPTED FROM 8 AM TO 4 PM <br /> , <br /> �.�I� � ( L��l��) <br /> PROJECT ADDRESS <br /> Owncr MallAddross City Stale2lp Phone <br /> Tenant Mall Address City Slale2lp Phone <br /> ElecldcalContraclor MeilAddress Clry Stale2lp Phone <br /> State Llcense Number Contrect Price of 14�ork <br /> Proposed Us�of Bullding �onlacl Person (Plan Revlew) <br /> Description of Work lo Bo Done: _�Y 1 �� ��� <br /> NOTE: WIRING IN NON-DWELL�NGS IS RE�UIRED TO �E <br /> BF IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVEF.ETT LOCAL SALES TAX CODE 13 3105 y �� <br /> 1 hereby certily Uiat I l�avo rend end exemined this applicafion end know the samo to be true and E"� <br /> r.orroct. All provlsfons ollaws and ordinances govemfng fhls type ol Hrork wlll be comp/efed <br /> H•fiPNiArspecllleAheraln ornot. The pranfing ol e pemuf does nof presume fo glve auffio�ify fc <br /> violato or cancel tfie provlslons o/any otf:., sfafe or local law regu/efing consfrucf/on or fhe <br /> perlormance ol canstrucNon. Thef 1 em aulho�izod by the owner o/fhls prooeAy fo peiform fhe <br /> work lor whlch appNcatlon Is made and I comply wlfh fhe Sfete Controcfors Law 18.27 RCW and <br /> 296.200 WAC. <br /> � /' <br /> / <br /> � � ��� r, y,�-/� <br /> 5 gnalu Dale ' <br />