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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETf PERMIT SERVICES <br />3200 CEDAR STREET, EVERCIT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />7207 Evergreen Way <br />PROJECT ADDRESS <br />LANSWEL DEVELOPMENT CORPORATION �� 8001 TALBOT RD -- - EDMONDS, WA 98026 <br />Owner <br />Mail Address <br />Ciry <br />Private Label Bridal Outlet 7207 Evergreen Way, Everett, WA <br />Tenant <br />Mail Address <br />Gry <br />Staie/Zip <br />Slale2ip <br />BERRY NEON SIGN SYS�fEMS 740Q Hardeson R�, Everett, WA 98203 425-776-8835 <br />ElectricalContractor n�ailnddress <br />BE �RYNC085L3 <br />State Limnse Number <br />Commerical <br />Proposed Use of Buildin9 <br />Description o( Work to ee Done: INSiALL 1 lit �Ndll <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIREDTO <br />DE IN RACEWAYS, MC OR AC CABLE. <br />QTY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Ciry <br />Sta�c/Zip <br />`����r� _ <br />Contract Price of Work <br />Trecie Skiles <br />Contact Person (Plan Review) <br />1 hareby certify that I have read and examined th is application and know the same ro be tme and <br />correct. All provisions of laws and ordinances 9overnm9 this type of workwill be completed <br />whether speafied herein or noL The granting oF a permit does not presume to give authonty to <br />vio�ate or cancel the provisions of any other state or local la w regulaN�9 construction or the <br />performance of construcUon. That I am authorized by the owner of tGis propzrty [o per(orm the <br />work for which application is made and I comply �vitli the S[atz Cont rauoa Law 18.27 RCW and <br />296.200 WAC . <br />�'V �1 /I�1 �✓ %�l��i�� <br />FEE <br />�a�o�.�z� <br />Phone <br />Phone <br />Phone <br />