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r ( <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 /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �blg G�D��- �" <br /> PROJECT ADDRESS <br /> �'oNy b6�.� i��ig «.o�a� sr �,��� w� 9�6� y�-�;-�3� <br /> Owner � Mall Addresa Clry Stele2lp Phona <br /> Tenanl Mail Addreas Cily Slate2ip Phone <br /> �iNc�,�c� E,��r :f�,�E,s ;�t.� l'✓'�,� s��;h+�., w�'. �°/l y�s-yP'!-9GG� <br /> Eled�ical CoMractor Me.�Address Clty Stale2lp Pho� <br /> $U �.IdAE.So�,'.'_'S8 2_5�,•.� <br /> Stata License Number Contrect Pdce of Work <br /> Propo�d U�e of Buitding Contacl Person (Plan Raview) <br /> Description of Work to Be Done: <br /> �Jf,� r�i�lc�����' 6�0[+� �i�RTO[/A� / ��I/J1 L��1G ��U^�"�� <br /> �l�/��/A�G <br /> NOTE: VVIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAI SALES TAX CODE IS 3105 <br /> I hereby certily fhet 1 have resd end exemfned fhis epplicefion and know the same fo be true end <br /> conecf. All provislons o/laws and ordinances poveming fhis type ol work will be complefed <br /> whether spec7fied herein or nuf. The grenting ol e perm7f does nof presume to give eufhorify fo <br /> violefe or cancel fhe provisions ol eny other sfete or local law reguleli,a consfructlon a the <br /> peAormance ol construction. Thef 1 em eufhwized by the owner o/fhis property to peAorm the <br /> work lo�which epplicafion!s mede end 1 comply wifh Ihe Sfete Contrecfors(.aw 18.27 RCW and <br /> 29G.200 WAC <br /> /G.u..l� ' � � 0 " � � <br /> atu ale <br />