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C_ '. 24. 2�,12 g : i:9AM�� ";_�. ��°9 2 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-Bb10 - FAX 425-257-8857—www•everetlwa.org �D`�— ��- <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM G-'/�/a-/6� <br /> W� <br /> ��$�S lN[S�t G l ev�hc►vP,vl ���� 98 2c7 l <br /> PROJECT ADDR[SS <br /> `i{�n n�a . .�i e-� S e, <br /> Ownel Mall Atltlro6s ���Y <br /> SWIoIZIp PhonO <br /> Tonanl Mail Addrees � <br /> City Stale2ip Phone <br /> ���5 ►�d� �� �� � � �5� ���� <br /> pleclricsl ConlrBCtor A1all Addcess <br /> Cily 5lalelZip Phona <br /> C�IFICAMN�inlaq `��� � <br /> Contract Price of Work <br /> Slote License Numbe� <br /> Proposed Uso o(Ouilding Contact Persan (Pian Review) <br /> � <br /> Description of Work to�e Dona: (, aao v -� iaov G Y�.-� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRE�TO FEE <br /> D[ IN RACEWAYS, MC OR AC CABLE. �^�� <br /> J <br /> CITY OF EV[RE•TT LOCAL 8ALE5 TAX CODE 13 3105 <br /> 1 hcreby certity that I havo road and exemined this appl�ationynd knmv tho sama fo be hue and � I 2� ^ _ r f?C� <br /> corrucL AI!p{ovisfons o/laws nnd ordinancos govemin fhls t pe of work�vill bo complotod v � t <br /> �qhefherspociliod haoin or noL 7he granliny of e permd doos nofA rasumo to gl✓o authonfy to <br /> v�olafo or cancol(he rOvislons of any ofher stofo or locaf la�v m9ulafing consfruchor�or the <br /> pedormancu ofcons�ruc(ion. That I Am autlron:�d,by fhe o�+no�o/(Bis��oporty lo peAortn fho <br /> �rork for�vhiCh epplrcafion is made ond I conrpry wdh the State Confracfors Law 1817 RCV✓and <br /> 298.200 WAC, <br /> < , , • <br /> S�gnamro ate <br />