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_ ^ -p (o <br /> 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 /> 1 � � � ���� ��5'�C �CI <br /> PROJECT AODRESS <br /> �— <br /> � � � ��� `�9/7 ��-���r���� 1��;! >��> �� r.,fi- �,�, l�' � y6w3 Zc6 y98�o17Z <br /> OWner Mall Address Cily State/Zip Phone <br /> Tenant Mall AJdress Cily Stalo2ip Phonc <br /> [loc�rir.al Con�rador hlaii Address City StateZip Phone <br /> Slate I_ir,�r,se Numbr.r Conlrar.t Price ol Wbrh <br /> Proposed Use ol Buildiny Contact Person (Plan Review) <br /> Doscription of Work lo Bo Dono: �-Q�-V�(y I 1'5���-�l�h / ��D <br /> NOT[: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RAC[WAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily fhaf I haee�end mid exomined fhis applicefion end know Ihe same fo be frue and <br /> r,orrecf. All provisions ollnws anAordinances goveminp this typo ol work will be complafed <br /> whefher spealied herein or noL Tho grnnting a!n pemuf does nof presume to givo aufhonty lo <br /> violate or cnncel tlre/irovisions ol nny ofher sfnfe or locel law regulefinc�constn�clion or fhe <br /> pr.rfoinr�nce ol const�ucfion. Thal l em authnrimd by fhe ownor o!fhis property fo paAomi fhe <br /> work for which applir.nfion is made anA I compty w�ifh fho Sfafe Conhecfors Law iB.27 RCW enA <br /> 296 700 WAC. <br /> , <br /> j��C[O_�/ __ _ h � ���316� <br /> SignaWre �Date <br /> � L�� Z '��� <br />