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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES 6 ��3�� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ' / <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org C D7o 6—�!� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �-i ` I I � ,_ ,1 �����v!'� 1>, t�� <br /> PROJECT ADDRESS <br /> �c,rVi Av�. 1x.,��I�;U�Y� 1 ,=?.�I ��.Ilri,.,� Ci� �1�.� ti���'c.� '�'����.���1-lec.� -.U..�A ` i!s ���i <br /> Owner Mall Addiess '� Clly StaIe21p Phone <br /> �uZ�i� ��`'1 - `'1'�� U / <br /> TenaM Mall Addmss City Slale/Zip Phone <br /> ���:.L'1���-t� ��Y��. 7i,ly" '�-i�r.� 'r �`� . �1_V`rG�- . U.,/� �l�'��L � l���ri) i S�. _ c.���c.�� <br /> � <br /> EIBCInC�I Cbnlraclof Mall Address Gty Stale/Zip Ahone <br /> �;V\� .0�Z N Cl_-���' � ti�S <br /> State Uconso Number Contract Price of WorY. <br /> Proposed Uso ol Buildinc� Contact Porson (Plan Review) <br /> Doscriplion ol Work to Do Done: �N\�I �, �"�.�_V�.� �>�� <br /> 1 ��U , �����j v)�� GJ�_�Yl�V1l� ��'/l.�v� <br /> NOTL WIRING IN NON-DW[LLINGS IS REQUIRED TO FEE <br /> �G IN RACEWAYS, MC OR AC CA�LE. <br /> �s� �o <br />� CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />� 1 hei��by ce�Ll}�Oiaf I hm�r, reaAt+nAeznminod fhis epplicnfion end know Iho serno fo bo frue and <br /> cormc( All prowsions ollaws and orAinances govommg this lype of work will be complefad <br /> K�hether speabeA herein or noL The granfing o!a pomuf does nof irosume fo give eufhonty to <br /> v�olafe o�cnncol fho pmvisions ol eny ofher stafo or locol la�r regu�efing construcffon or fha <br /> pedorrnance al consfivcfion. rhet I ern oufho�ized by fho o�ener ol this property fo pedomi fhe <br /> wo�k lor which applicnlion is madA nnd I cornply with fhe Sfate Confracfors Lew 18.27 RCW anA <br /> 29G200 Vl'AC. <br /> ;, �; �,_ <br /> � i, - �j v � <br /> . ` i nature . � �" Dale <br /> �GIG(o -U(D�p <br />