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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320� CEDAR STREET, EVERElT, VJA 98201 <br /> 425-257-ES�0 - FAX 425-257-8857 - www everettv,�a org <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM , <br /> I 1 I � 7i U� �/k"1N� �'IC�aC W�� � <br /> I PROJECT ADDRESS <br /> ! ��� t- K�o,-sv ,� <br /> 6 l� � .�S�fG �(�/GIiZ�`� c✓ C��,n�.r+,,:Jc�r� 9bos7 206 Za6 `1�8y <br /> Owner Mall Addrass Cify � St�te2;p Fhone <br /> Tenant 7.4a11 Actlress Gty '!at%21p Phone <br /> .��,�� � � y��s s��Z C ,� _�L���'�� . �/25" 33S 76� <br /> Ele�lriCa(Contractor I.�all Address Gty Slafo/Zip Phme <br /> 1�I�'IbNE�l y? Sr�6� � /5�� <br /> Slate License Number Con:raCt Price cf Work <br /> � ��� <br /> Proposed Use of Duildin3 Contact Porson (Plan Review) <br /> Description of�York lo De Dcnr. C �N�G�Y L���4,4i �'S � �I�c�wTy V(.�-��f <br /> i <br /> NOTE: VJIRING IN NON-DWELLINGS IS ReQUIRE� TO F[E -� <br /> B[ IW RlaCEIA'AYS, Iu1C OR AC CAf3LE. <br /> � <br /> t <br /> CITY OF[VERET7 LOCAL SALES TAX CODE IS 3105 ? <br /> !hereby ceni��thal 1 nave read end ersmir,ej N�ls app�icaiion ond kncw;te same t�be true ard C/ �J� - vy J <br /> co,-red. all provrsicns o/lavis and oMi.,ances g�vommg fltls fype o!w�crA v.�l/be completed <br /> u-hether;pec;�ed hAreir, or nef. 7he��vnLnG ol n oermd d�es nof resume to give aufhonfy;c <br /> vrolafe or cancel tho procisions of any oi.h=r stalc�or locel law requPtmg co�strucfion or Lhe <br /> parlwmance of ca7stn�c on. 7haf I am�uthcr¢�d by the o�sner o`th+sProp=,�ty fc perform the <br /> wcrk/or titi•/;rch appl,caP h is mejle and I crmply�vifh the Stafe Contrac.ors Law 7B 27 RCW a;;d <br /> 23E 200 Ih'AC. / <br /> f <br /> i <br /> 7- �-o� <br /> SignaNr9 � Da;e <br /> S d £95LSEC9Zb ��ewen ene�S e6l 80 80 Ol I�f <br />