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( � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDA!� STREET, EVERETT, WA 98201 1 `� �$ -12 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org ����L -�( 3 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> '��DI LI�'WIT1 A�e EVP,��b[A.-�IA'�D� <br /> PROJECT ADDRESS <br /> g�E tr��e�1�e� . <br /> Owner Mall Addrass Gry StatdLp �� <br /> .�.0 r��ri�a �e� �i�t� �r�r�, w�,�n�n� M� �z.��s <br /> Tenant Mall Address �' S��P �0�° <br /> 1 F �- ! <br /> Electrical ConUador Mell Address S�� �0�° <br /> y�-�mr <br /> lele cense Number Conlrad Price of Work <br /> Proposed Uae of Bulldfng Contect Person (Plan Review) <br /> Description of Work to Be Done: 01.e�- g�GiN��e � <br /> < w�, �1� <br /> \ <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 3705 �I I I 2, — 1 I � <br /> 1 here6y certlly fhaf 1 have read end exem7ned this appllcatlon end know fhe same to be true and <br /> correct. All provlslons of laws and ord7nences goveming thls type o/work w1116e complefed <br /> whether specllied here7n or nof. The granting o/a permit does nof presume fo glve aufhorify to <br /> �•folafe or cancel the provislons ol any otherstafe orlocal law repu/aUng conshucdon or the <br /> performance o/constructfon. That I am aufhorized by fhe owner of thls pnperty lo peAorm the <br /> work�or which appllcation fs made and 1 comply wlfh the SYete Contractors Lew 18.27 RCW and <br /> 296.200 WAC. <br /> �'t.•l • \ <br /> Slgnatu Date <br />