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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX425-257-8857-www.everetlwa.org / ��--�9 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM G O 90�'"�O� <br /> j00''_� 1n�G'�� C,F�s�No 1�opo �-L�-ZI (j..c,s <br /> PROJECTADDRESS <br /> � � <br /> I Nc 1�v��•r: C�o. � Lx7K �101 j�u-�T u: W� `�n 12'i -'�Zol <br /> owner rnanaaa�ass cih sie�e�ziP Pnone <br /> � � <br /> IWr �Zil�+� (��, <br /> Tenent Mall AOdreee Clry Slate2ip Phone <br /> �-o�� ��o�,�nin� [-ltti=T���- [�-IOJ NlJ p^o.`st, #I Fe' ���T'Tu' � Wo q811� Z�-�Y,-9�7-dt ' <br /> ElecMcalContrector MellAtlaresa Ciry Slata2ip %tone <br /> 9 "� <br /> FoYI�+L`oI�iCN L�� <br /> Slutn Llcnnsn Number Cantract Pnce ol Work <br /> Propnsed Use of Building CantaG Peraon (Plan Review) <br /> —�. <br /> Description of Wark to Be Done: c"�>���^� � i�c�^O�� �3 «�L- A�m <br /> r�-� � ��.�-,..J <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX COOE IS�105 <br /> 1 hereby certilp thaf 1 have read and azemined(his application and know fhe seme Po be true and <br /> correct. All pr�visions ol Inws and ordinances Oovemmg this type o!w�ork will be completed <br /> wheNror spacil�ed horoin or not. The pronfing al n permd does nct rasume fo givo authonfy to <br /> violafo or cancel the piovisions ol any ofher stato or local law roguPating cons(ruclian or fhe <br /> peAomiance o/construcfion. Tbnt I om euthon:ad by Ihe owner ol this property to podorm fho <br /> �voik/or whicfr app� �fion is made and I comply with the Stote Confraclors Lew iB,27 RCW end <br /> 296200 WAC <br /> ./ <br /> ��� /l.�'.•1���' <br /> � a�e <br /> [_- <br /> ��r0(-oo� <br />