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( ( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES q��.6�1� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 '/ <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org �/��9'�67 <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> �26 � <br /> CL���— s% C-Uc�z�'f� <br /> PROJECT ADDRESS <br /> �,�2 �y r�n��a� �-�z� <br /> o���H �� �i9 eEn,u� �'v�'Tf u-� . �'�Zo i <br /> Ovmer Mall Addresa Clly Slate/Zlp Phone <br /> �17� - 2-S P - L149s <br /> Tenant Mall Addreae City StalelGp Phone <br /> G Wl��� <br /> Electrical Contrector Mell Addreea Clty Stete2ip Pl,one <br /> Slate License Number Contract Pdce ol Work <br /> Proposed Use of Bullding Canlect Pereon (Plan Review) <br /> Deacrlpllon o(Work to Be Done: �T �n�< up ��/' /���, ,,-yt �c.c�, l'v2 jr�v� /'-z�cmlr <br /> /l/�� VC1VAo�+-r� Fv2 �Vl-._YC[:� S�v'S/', :C F't_Si. <br /> NOTE: WIRING IN NON-DWELL�NGS IS REQU;RED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 (� <br /> I hereby certily Ihaf 1 heve reed and examinod fliis eppllcatlon end know fhe seme fo be true and �) I U-I - ���' <br /> correcl. All provlslons ollews end ordlnances poveminq tltls fype ol work wlll be complefed <br /> whether spec!(led hereln or nof. The granfing ol e pertn�t does nof presume to pfve eufhorlty fo <br /> vlolafe or cancel fhe Provfslons ol any ofher slate or local lew repu/ating conshuctlon or fhe <br /> peAormence ol construcNon. Thaf 1 em eufhorized by fhe owner o/fhls property fo perlomr the <br /> work/or whlch applicatlon Is mede and I comply wifh fhe Stafe Confrec/ors Law 18.27 RCW end <br /> 296.200 WAC. <br /> ��?�,�-� ��2��/ <br /> Ipnahire Dete <br />