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� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF E�ERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> /D�J/J -v���>���. wa y <br /> PROJECT ADDRESS U <br /> y„d( G���,Y icv ll E'�r�,;�� k c„�.y �..R,-� cv,G 91T.�c��l <br /> Owner � �� Mall Addross City State/Zip Phone <br /> J'�„b(��/ �ut�G1� <br /> Tenant ' Mall Address Cily Slate/Zip Phona <br /> /�u�,'� �`�� r?«rrf�/S�t�'^S S��Z 7��1 !oL ��ES�� .��.+ 11��/Svil� f,'✓�' ��Z� � <br /> EleCtriCal ConVaClof Mail Address Cily Slala/Zip Phone <br /> ,Qc��^-�v l/s o%SP�' �3�Z 6�S -� � <br /> State License Number Contract Pdce of Work <br /> ��'P�Y-Pr- — - <br /> Proposed Use of Building Contact Perso (Plan Review) <br /> Description of Work to Be Done: /�'w /J�Snh .�ic u��/ �-�M���S <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 here6y cerlify that 1 have read and examined fliis applicatlon and know the same to 6e hue and � 11� �—(� (_Q�"I <br /> correct. All provisions o(/aws and ordinances goveming this type o(work will be completed <br /> whether specifled herein or not. The granting of a permit does not presume to g(ve authoriry to <br /> violate or cancel the provlsions ol any other state or local law regulating construcfion or the <br /> per(ortnance o(construction. That I am authorized by the owner of this property to peAorm the <br /> work for which application is made and 1 comply with the Sfate Confrec(ors Law 18.27 RCW and <br /> 296.200 WAC. <br /> ���i4 ,� �°-l� o2.olJ �� <br /> Signatur �� ' Dale <br />