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, <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OIF EVERETT PERMIT SEi2VICES <br /> 3200 CEDAR STREET, =VERETT, WA 9H2O1 `I `� 4`�3 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org C i.3o y ��s�, <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> Q��� �I�'�A.r o� �r' <br /> PROJECT ADDRESS <br /> �'c �n ,-� 11.1111L1 r1 ` � OL._ �a5 � ���5 � I �q'� <br /> p�e� Atail FaGrass Clly StatGZlp Phone <br /> Tenant MallAddtess Clty . State2lp Phone <br /> W e �`i�n �Q�YI� �t l(,1.� 1 � � �J�� 'f � ��Q��'L W�i q V I��C_� <br /> ElBctrir2l COnlrador ldallAtltlress Ciry Stale2lp a�• �y �� Phene <br /> �-}s�on <br /> ���,,,Y.,Y,1ti�c�`a-l��t � 3Cs� <br /> Slale Licence Num6er Contract Price ol Work <br /> J 1— � 1�'+ rY�,i-� <br /> Proposed Use ot Building Contacl Person (Plan Review) <br /> Desuiplian ot Work to Be Done: I I 1 i._Llcl 11 1 �lJ�`-�'I'E � S �1 p�L� �U' I v�" <br /> T�` <br /> NOTE: WIRING IN NON•DWELLINGS IS {tEQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABL[. _ <br /> ����, ��� <br /> CITY OF NERE17 LOcqL SALES TAX CODE IS 9105 <br /> 1 hereDy ceRily fhat 1 have rtaad and exomined this applfcatlon nnd know fhe same to be lrue and r�� I _7�� � I _ ��- I <br /> corcect. An pruv�sions ol lews and orti�nances qo+emrnq this rypa ot wo,1c wll!bo completad L t( <br /> �vhother spoc�Trod heroin or naG The granting of e parmr!doos nolProsume to give authonry to <br /> violete cr conce�the rovisiona of eny otberstale or locellow regu ating conshuctlon or fhe <br /> i porformance of tons�uction. tliet 1 am authodied by the owner otfhis propeily to pedomi Me <br /> �w !or�rhlch appfication is made end 1 comply with thn Stafe ContraIXors Law 1827 RCW and <br /> 2 . o WAC. �� <br /> ( �., �/a a � I'� <br /> s�a� �e,� <br />