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� � . <br /> ELECTRICAL P'ERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �-� �p�� f! <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—tvww.everettwa.org C�J� ?- ��� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � i .� 32 �+�ya�, S�� �f , ���rT, ,�,� ��2� <br /> PROJECT ADDRESS <br /> l�wner Mall Address Gty State/7Jp Phone <br /> �� LCD v ��/t►�t ��S�-Prtl P-�+� L t�b 3 2 -H u)Y g�1 ,��� �7T,l.�/.A `��� <br /> Tenant Uall Address City State2lp Phone <br /> I� 1k�' S t�'�v.� sc�'�I Zz �� ��v`� si s£. �u���TT, � �2�2a� <br /> Electrical Contractor Mall P.�dress Gty State/Lp Phone <br /> I�t 1 K�sn�S033c�° _ �S� <br /> State License Number Contract Prlce of Work <br /> Proposed Use of Building Contad Person (Plan Review) <br /> DescriptlonofWorktoBeDone: _����- �� �rV`� ��x�Sn�i ' _ "—�W�y <br /> Lt"D LtT c��t+itNl�l�� 1�7�T'�� S <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certi/y that 1 have read and examined thls appllcaGon and know the same to 6e true and <br /> correct. All provlslons of laws and ordinances�oveming this type of worlc wlll be completed <br /> whether speclfted heiein or not. The granting c!a permit does not presume to g7ve authority to <br /> vlolate or cancel the rovlsions of any other state or local law regulatlng conshuctlon or the <br /> peAormance of cons�ructlon. That 1 am authorized 6y the owner of thls property to peAorm the <br /> work lor whlch appllcaHon!s made and I comply with the Sfate Contracfors Lew 18.27 RCW and <br /> 296.200 WAC. <br /> � ` � � <br /> Signature Date <br /> E � 1 � L� �'� l <br />