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��• '1 1� �1i1� ��� ' �� <br /> �, .t' . ib • _lQ6 6: 3�r,,1 I�_��,�„ ��;� I ��,� ���, �- - . , , . 1 <br /> � . <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAXh25-257-8857—www•everettwa.org <br /> APPUCATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br /> �D 5 0 S 'U-��I <br /> I�b I M�e,r�� ll C.��u� �(cl�� , <br /> PROJECT ADDRESS <br /> � ..� j�e,u�,, rnor�hcu�e..1�Y�w� �and�av C'A-_ <br /> Owner MellAddross Clty State2lp �� �hone <br /> Tenant � Mall Atldross Clty SteWlZlp • Phona <br /> E��CI nY1C.l�� A\'�'�'n/LIMaI Add IZ`YZ u�l'lY'c "C..J.. i�'{�ZOZ ��Lt���CL(�-,,�_,,� <br /> �� �a G"'1`Z� <br /> � �(o�i • 25�F �! <br /> ��tiS� aH�-I�.�� � ��,� <br /> Stnte License Number Contract�of Work <br /> ` <br /> �►�t-a <br /> Proposed Use of Bullding Contact Pereon (Plen Review) <br /> Descrlptlon of Work to Be Done: Un�C+'� �1�'C,. ✓� LUrrn ��1 �I�' <br /> •rJ <br /> NOTE: WIRING IN NON•D�VEL.LINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE, <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hereby cort!ly fhat 1 have reed end examined ihls appllcaHon end know the seme to be true and <br /> correci. All provisions oflews end ordinances goveming thls type olwork wlll be completed <br /> whemerspeci(ed hereln or not. The prenGng ot a perm7t does notaresume to gNe euthonry to <br /> vloiote or cancel the provlslcns of any othet state orlocel law repuleting constructlon or the <br /> performence o(constructlon. 7hot I am authodzed by ihe owner of this�roperty to peAor,n tho <br /> �vork lor whlch applicafion is mede and I comply wlth the Stete Contrec.ors Law 1@.27 RCW end <br /> 298.200 WA <br /> S � Z ' <br /> ipnewre Dete <br /> Q�P���� ��r G��� ��- pJ'� , <br /> �(o0• (�S�j� Z5� � �06o5- �zq <br />