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4 ; a 90 <br /> ELECTRICAL PERMIT APPLIGATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEOAR STREET, EVERETT, WA 98201 g —I Z—dCi <br /> 425-257-8810 - FAX425-257-8857—www.everettwa.org � Oc�Og,�,O4� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �/��.3 /.(�. �AS.n.a ,� 1� r1c'r,� /�UAC cJ��'A�/C O,\\ <br /> PROJECT ADDRESS � <br /> %3ac;M� �o�- -� c� cj,�s.�,�- ,�'�� l dre��" c�p — <br /> Owne� Mall Atltlress Ci1y StalelZip Phone <br /> Tenan� Mail Address City State/Zip Phone <br /> WPCS Intr_rna[ional Sea[tle Opera[ion, 1P539 142nd Ave NF. Woodinville,WA/98072 425-M193-2677 <br /> Eledrical Con�raclor Mall Address Cdy SlalelZip Phone <br /> WPCSIII912M1 <br /> State License Number Cunsad Price o1 Work <br /> COMMERCIIIL <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description ol Work to Be Done�. Y-c�G� L�-��t7�/ L 7G' b ['v. C tS <br /> NOTE WIRING IN NON-DWELLINGS IS REOUIR[D TO FEE <br /> BF IN RACEWAYS, MC OR AC CABLE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certi/y thaf I have read and exanuneU(his applicafion and know tho same fo bo fn�e and -r_��i�g -oy� <br /> carrecL All provisons ollaws and ordmances govemme�th�s type ol work wdl be completed <br /> whethei specdied herein or noL The granliny ol a pennd does not presume ro givo aufhonty to <br /> viola(e or cancel the provisions ol any other sfnte or local law�egulalinc�consfn�cfion or the <br /> pwlonnance ol constniction. That 1 arn authonzed by fhe owner o/this property ro pedomi!he <br /> work/or which application is rr��de and 1 comply wilh fhe Sfate Conl�aclors Law 18.27 RCW and <br /> 296?00 WAC. <br /> . <br /> ��ii�,���� :�_ 7�>1 <br /> / S�gnatwe Dale <br />