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� <br />;- <br />� <br />ELECTRICAL P�RMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8657 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�3� tiE �l��T _N�`�'�� <br />PROJECT ADDRESS <br />1��'� � <br />�-r� M�w. u� u�- -- <br />Owner MallAt ess <br />Tenanl <br />Eleclrical Conirador <br />Ciry <br />Mail Address City <br />i50'�-� vw <br />�a�C N� <br />Mail Address ��� <br />v��wc�(� ��ita�P� <br />State License Number <br />�i lti <br />� r�ed Use of Building <br />�' � <br />Square Footage (If reside tial new conslruction, remodel or addltion) <br />3-�S -/Z <br />6i2o7 _1�3 <br />EV E���� VJ.F} �i42o$ <br />`.,,ir��,-'AN <br />QFl�u-h � (� �114'v� <br />Stale/Zip Phorre <br />r,w� .�'u�' <br />SlalelZip Phone <br />� w�- �- �oto�� -ts�I <br />StetelZip Phone <br />•� l5D0 � D� - <br />CoNmct Price of Work <br />.�PsV-c�► G�►�v <br />Contacl Person (Plan Review) <br />DescriptionofWorktoBeDone: �iV'IiKu�N�� �S�N �_5111�:cllsf � J"`"`'fr� � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FE� <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 horeby certify �hat 1 have read and examined thls a�plicatiun and know the same to be frue and �I �U�— J�� <br />conect. All provislons o/laws and ordinances goveming this type of worlt wl116e complefed <br />whether specified herein or not. 7he grsr+ting of a pertnit does not prosume to give authonty fo <br />violafeorcancelfhe provisionsolanyofhnrsteteorlocallawregulatingconstrucftonorfhe <br />peAortnanca o/construcfion. That 1 em aufhorized by the ownerol thls property to perform the <br />work !or whlch application is made end 1 compfy with fhe State Contractors Lnw 18.27 RCW and <br />296.200 WAC. <br />