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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 �fl _a 5��� <br /> 425-257-8810 - FAX 425-25�-8857-www.everattwa.org ��_0� <br /> GJCr� /� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 7 3 t�v Ce.duv �� . <br /> PROJECT ADDRESS <br /> S�a�,e�,.� C�n\vuc-��v`� (tiz��g�v - ���I�- <br /> Owner MallAddress Clty Slale2lp Phone <br /> Tenanl Mall Address Cily SlatalZip Phcme <br /> Y`�1C1-��V��1 ��ckr��C� Sv,c. . �uzh z��Z uS��l�- <br /> Elec�riCal ConUedoT Mal1 Addresa Clty Slalo/Zip Phone <br /> M�u-s�v�c.c/�� rv�'� — <br /> State Llcense Number Conlracl Prico of Work <br /> Proposod Uso�f 6ullding Conlact Person (Plan Roviow) <br /> Desr,riplion of Work lo Do�ono: � " �O �AV��J`�V��1.� `S'��� _ <br /> �k.v`J\l:e�- I <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 CODE IS 3105 <br /> 1 here6y ceMily thaf 1 hnvo renA end exnndnod fhls applicnNon and know tho sarno fo be fn,u end <br /> correcf. All proWslons o/laws end ordinances govommg fhls lype ol work will be complofod <br /> whether speclfled boreln or not. Tho grenting o!e pemuf does nof �resume fo glvo eufhonty fo <br /> vlolefo or cancol fhe provislons ol eny ofher sfafo or locel lew reguletin�consfruclion or fho <br /> pedomtence o/construcNon. Thaf 1 am eufhonzed by Ihe ownor o!fhis property to porlomt fhc <br /> work lor whlc6 appllcntfon Is mede and 1 compty with Iho Stafo Confracfors Law iB.27 RCW end <br /> 296.200 WAC. <br /> i <br /> /i _ —�- I L: �1 v �L' � � , � . <br /> i S n v � _ _ Uate � ------- � � <br />