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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />47_5-257-6810 - FAX425-257-8857--www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM - DEBIT & CREDIT Cl1RDS ARE NqT ACCEpTED <br />PROJECT ADDRESS <br />� C �,;1 <br />�e� <br />5 Zn � <br />Tenant <br />Mall Atldrnss <br />Mait Address <br />�--�s z�� <br />�.J . �p,�„� <br />, <br />Ciry <br />City <br />Stale2�p <br />Statn2lp <br />�?�y <br />P�arc <br />Phone <br />v�--1Cv �le�t � �UR�,c l� vZ.11 NzS— <br />� � �u �l�- a$�1�' 7��-��lv <br />E�ectrical Contracfor M,�II neoros: Ciry Stale2ip pnono <br />(,_()1 U �i 9 q� G <br />State:.lcense Number <br />E.��-.�-z, �'l <br />Proposed Use af Huildinp <br />Descnptlon of Work to Be Done: <br />�— �ar�., �-- � �, I�zsr'� • <br />NOTE: WIRiNG IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF 6VC•RETT LOCAL SAL[S TAX CO�E IS 3105 <br />�cZ 3v� <br />Contract nco ot Work <br />����� 5��� <br />Conlact Pnrson (Plan Roviow) <br />I hereby cen!(y fhn! I hnve �eaAand oxamined 7his applicdfi0n and know tho samo fo be true and <br />eorrect All provlslons o//aws and orrilnanCes gOveminp fhi5 type ol work wiU bo completod <br />whether spocllcd hcreln or noL 7'he grantinr� ol o pe�m,l does not presumo to yivo aulhonty fo <br />vlo/ote or c&ncel Ihe Provlsions ofany ofhorstote orlOcallAw regulating consfrucfion orlhe <br />wo� IorAw�� ch t7ppf cat on Is nde And 1 co� nply with fhe Stafe Conf a�c!os LawY 18 2 RCW and <br />296.200 WAC. <br />� <br />FEE <br />tlao� - �3R <br />TOOQj JI21.L�3"13 04�fOZ OCL!98!SZI• �'3 SF�9T i.TOZiOT!LO <br />