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Jul 17 07 03:59p Keller Electric, Inc. 360-668-7431 <br />( <br />p.l <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />, 3200 CEDA ;=E , WA 98201 % � � g-'D % <br />425-257-8810 - AX 425-257-8857 - .everettwa.org �O 7 D 7`� b� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />.� a � � i�l ,������-.�— <br />PROJECT ADDRES <br />Ovmer <br />Tenant <br />Mall Address <br />�i'�t�1�� <br />Meli Addrcas <br />�iy <br />ciry <br />ElechicalContredor MailAddress City <br />{�E/�c �"��'9��iP 9 <br />St � te Llcense Number <br />Proposed Use of 6ullding <br />Description ot Work to Be Qane: <br />NOTE: WIt21NG IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />! hereby ceilify �haf I have read <br />correcf. A/l provisions ot laws a <br />whether specifietl herofn or nof. <br />viotate or cancal the provisions <br />peAormance of conslnich'o». T <br />wod< (o,- whrch applicalion is m. <br />29@200 WAC. <br />State2lp <br />SWIe/Zip <br />StalelZip <br />Phone <br />Phone <br />L(i� ��� ; <br />Phone <br />1750 . v-v <br />cor}qaa Price of work <br />/� <br />Contad Person (Plan Review) <br />fhis epplication and know the same lo De frue and <br />goveminglhls rype of ivoric tvlll6e completed <br />�f a permrt doos nol rosume fo glve auMonry to <br />ite orlocal low reguPting conshuction or Ihe <br />ized by the owner ol this property to peAam the <br />'v wifh the State Confr�cfors Law 18.27 RCW and <br />— �/ � <br />FEE <br />FUlO�-�U 1 <br />