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l ( � <br /> ELECTRICAL PERMIT APPLiCATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 ��•-7 S —�/ <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org � '� �p_�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �,Zo � ��� � �-�- �v�- <br /> PROJECT ADDRESS <br /> /v q � Z Z��� ��w�1�— �i� �U�r'e�-- G�/q. <br /> Owner Mall Addresa Gty sfala/ZID PhaN <br /> Tenant Mall Addresa Ciry State/7Jp Pha�s <br /> � ihan�n ��<�l�hh� �nc P� C�o�C �I87 ���I�n� wa. 98z33 y�-6Ztz <br /> EIecUlcal ConVactor Mail Addrese Gb S��P �01b <br /> �/�2 r�. g z Z,7s �i���'_ <br /> State Licenae Number Contracl Pdce of Work <br /> �� /ru��� . . <br /> Proposed Usn of Building Contect Person (Plan Revbwj <br /> Qescripllon of Work to Be Done: �I�� � 11���� '1 I sW� `' `� ��� <br /> r�ew� ���h� �� X fufe5 - <br /> NOTE: WIRING IN NON-DWELLI�GS 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 certlly that 1 have read and exemined thls application and know the same fo be We arM <br /> cortect. All provlsiuns of/aws and oNlnances goveming thls type o/work wlll be complefed <br /> whefher speclflPd herein or not The grantlng o/a permd does nof p�s�me ro ave aw�o�y ro <br /> violate or cancel ihe Frovislons ol eny other stafe or local law regulatlng conshuctlon ortlre <br /> peAomiance o/co structlon. That 1 am eufhorized by the owner ol thls pr�peAy fo perlonn Me � O <br /> work for which a Ilcallon Is and I comply wlth the SYafe Confrac(ors Law 18.27 RCW and 0 � � <br /> 296.200 WAC I � <br /> /�� Z3 �/ I <br /> ip ut Date <br /> � <br />