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. i�. i;'; , .� � <br />�, - <br />1;.7'0� ; <br />EL.ECTRICAL PERMIT APPLICATION <br />CI'iY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 . ��.a 8` �3 <br />425-257-8810 - FAX 425-257•8857 — www.everelhva.org <br />[��3�1-ts2- <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�.S15 C�ra�d Ph�e �,��`��� <br />FROJECT ADDRESS <br />Tenanl <br />CO�ff9GSOf <br />Mall Adarass <br />MPII ACtlress <br />Idoll Addre66 <br />�m�4r-AM Nq ol q�f <br />Stsle Licenso Number <br />Proposed Use Of 0uilding <br />Descnption ot Work to Be Done: <br />Clly <br />ciry <br />Cily <br />Z5 25g ri2� <br />SlalelZip Phone <br />SIa102�p Phone <br />SlalelZip Phone <br />� ✓O �/ <br />Contract PfiCo of Work <br />Contact Person (Plan Reviow) <br />NOTE: VJIRING IN NON•DWELLINGS IS REDUIR[D TO FEE <br />BE W RACEWAYS, MC OR AC CAE3L�. <br />. 50 �DO <br />CITY OF EVERfl7T LOCAL SALES TAX CODE IS a'I06 <br />I hereby coRily fhat 1 hovo road and vzamined fhis ap�licatlon end know the some ta be true and �� 3 f J <br />conoct. All p!ovlsiais of la�vs and ordinances govem�ng fhla type o/ �ro�ork wlll be completed i �; ( v� <br />whelher spoc�6od hor�in o� noL Tr�: pranting o/e pormrt does notp resumo fo pivo aufhonty to <br />violo(o or cancol fho provisrons olany offrorata(e or locallew rogulaNngpconstruc(inn or fha <br />per(onnanco o! Con catror��ls n,ad ancm] 1 �"�rn�ly w tny(he 3(afe Conii�scloispLaiv 18 27 RCW and <br />work lor whicb app <br />296 200 WAC. <br />