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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 /p _a3-O� <br /> 425-257-8810 - FAX 425-257-d857-www.everettwa.org ��g� �2� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1717 /rr�lt3v Rrr. �r�Jf�� <br /> PROJECT ADDRESS <br /> �iRu E��iii�t�«� Ill 1 ��P� Pv l� �� j �1f�1���'�� l �� ���Z.C1 j'��� i��� <br /> Owner MaIIAdOreas Ciry Stete/Z�p ppone <br /> Tenant Mait Aeereae CRy S�a�e21p Pr,one <br /> `��iLu�� fLfC�7ercri� C'C��Zri�"tZR`� 1 � S �iv"to�okt Ac� P �424'T, t� `j�' 01 <br /> Eledncal COntradOt Mall AdOreas City SlataRip �l�/ P¢ho��n�e / <br /> � 1'- � l - , r. � /Z//D�/ /j (U (�.�C' ?.�1�1 L�`12.I <br /> �� �,. ��. �_.�° L.:7�L''\+_- , / ��, <br /> State License Number ConVad Pdce of Work <br /> �� � n <br /> -�ltiCiL1 �/�l%11L`l vlL�fLUn_'(•� /�J�,t�C'x% '-7/2/9Z�� <br /> Pr000sed Use of BuilAing Contad Person (Plan Review) <br /> DescripUon of Work to Be Done: �rL/'��`l. �K/`.�%//��� (`(,( ' ��� �f��-GG- <br /> ��J/� �Z�(.�� �.L�� /-/�1..1c(i <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC C.�BLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily thaf I have read ond exammed thrs aUP��cahon and know fhe same to be true and <br /> correcL All piovisions�Ilaws and ordmances goveming this type ol work will 6e complefed <br /> whelber speci6ed herem or not The grantrng oI a pemul does not presume to grve authonty to <br /> violato or cance/the provisions ol any othorstate or locel law regulating consWction or the <br /> performance ol cons(ructio2 That I em auBionzed by fhe owner o(Ihis propeRy to perlorm(he <br /> worN for which appl�cation is mede and I compty�t�ith Ihe Slate Confractors Caw f 8.27 RCW and <br /> 296.20Q,V✓AG.� <br /> / � <br /> ���, :,� �,�. i��/2�c� ,- � <br /> a�'�2� <br /> —�ignalure a�� � <br />