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( i <br /> � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT 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 /> 1 � 3� � ���, ,-���, <br /> �z..o�,�- �',� 9��4� <br /> PROJ�CT ADDRE9 <br /> Owner <br /> Mall Addrees City StatelZlp Plane ' <br /> A �� vi s��i <br /> Tenant <br /> Mall AdCrees City StstelZip Phone <br /> �� � r 20/F Q�i..l � i`�/..^ C✓''� 9�0� <br /> EleMrica��o �ar Mail Address Clty <br /> s�Bi�v yJ.S�Le"7"-e�6't'o <br /> f�1�1,11L.1E q/s�'Pl o �oa ' <br /> State License Number Contract rice of Work <br /> Propos�Us�of Build�ng Contact Person (Plan Review) <br /> � �� J <br /> Desaiption of Work to Be Done: _ <br /> _l-- <br /> . � � _ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> 8E IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX�a���S 31Q5 <br /> 1 he�eby ceRl(y fhat 1 havs read and exemined this applicafion and know U�e same to be true and I�//��L / � <br /> correct. All pruvlslons of laws and orciinannes govem�n�fhis fype Cf work will 6e,completed L.� �- ` (�� <br /> whefher specil(ed hcrein or noL The B�ntmg of a permit does nof resume fo give aufhoriry to <br /> vrolate or cancel the provisions of sny other state orlocal law reguPting consfrucfion or fhe <br /> pei(ormance o/constiuchon. That I am aufhorized,by fhe ownero/this Property to perform the <br /> �vo����A�applicetion is mado and 1 comptyWiG�the 5tate Contracrors Law 1B.27 RCW and <br /> C�24 <br /> y z� �/ <br /> Signetuie �at <br /> J I.pGcSp �.Q W�-YL. C.�;� Cw.•� jri.�wle�`ah <br /> y 2s ��`� &F��� <br />