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ELECTRICAL PERMIT APPL.ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 420-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 300�j v�, Cp,s�No 12D ! 6� �Nb '40- 4 3 431/15�Q6 <br /> �:- <br /> PROJECT ADDRESS <br /> �X <br /> t��oe�v�ti Co �o �3"ioa SeH�� wd� �1612'i <br /> p�y�g�� Mall Address City State/Zlp . Phone <br /> Tenant Mall Addresa Cily Stete2ip Phona <br /> 153'3sG-OZ�y� <br /> SEA'TR.o1�1�LS F-� EoX 113� �ur��2nl �N a- 4R011 253939 (u0lo0 <br /> Elecirlcal ConUeclor Mell Addreae Clty Slale2ip Phone <br /> 5FA-rRI�` I'z�3A � 3,�01• °� <br /> Stete Llcenae Number Contract Price of Work <br /> o�,ca. � b��ti1c �o�i�rS �NY D�+16� 2s3 '35o� oto�} <br /> Proposed Use of Bullding Contact Peraon (Plen Revlew) <br /> Descripllon of Work to Be Done; �F1f2 A1�c rn 57si� �a ��W K�k- ��1lE�R S; <br /> �- F��e A�t� 1�ne� �' S�HoI'a_ �C�(''S �{ - w.q„va� Sia�-laJ <br /> 2 - 5��6z.5 �\ �o�h -s}robeS <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CAk3LE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �1�g.I�� <br /> 1 here6y certily fhat 1 heve read and examined fhls eppllceflon end know fhe same fo be hue end <br /> correcf. All provlslons ollaws and ordlnences poveminp fhls type of work will be complefed <br /> whether specflled lieraln or nof. Tne grenting ol e perm7t does nol presume fo plve eufhorlty fo <br /> vlolafe or cancel fhe provlslons ol any ofher stafe or locel law repuleting consWcNon or fhe � <br /> perlormence o/constructlon. Thaf 1 em authorized by fhe owner ol fhls properfy to per/orm fhe � <br /> work lor whlch appllcaflon Is mede and 1 comply wlth fhe Stete Conhac(ors Law 18.27 RCW end � <br /> 296.200 WAC. <br /> i <br /> �.�,� Q���� �$'�7' 7�01 0 � <br /> S` ie� ' """'�' ete ; <br /> � <br /> i <br />