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f i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> 5`iGl 23 fU� '7�2 �� 131�u A <br /> PROJECTADDRESS <br /> 5,��.wc..� C�.-� L,:; .�.�� �lc. <br /> Owner MallAdd�ass City SlateRip Phone <br /> �.c��'AN_5�� "VJI�'c:f2 TtcN <br /> Tenant MallAddress Cily f,teteZp Phone <br /> �3nr����,z �',2� ��Ec.� sy�" A�� n,L A,���n�r���.�, w�� 5�2Z3 �1zs yy4 iyy <br /> ElecUical Contrador Mail Address Ciry StatelZJp Phone <br /> 3nrestZFJ, �� h-,� lyuu�- <br /> Stete Licenae Number Contract Price of Wcrk <br /> Proposed Use of Building Contad Person (Plan Review) <br /> Description of Work to Be Done: �i 2�.. A l-�2 f� TL�A fS)' IMI��V�M c:v� <br /> NOTE: WfRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAl(CODE IS"s106 <br /> 1 hereby certily fhat 1 have read and examined fhis applicafion and know Ihe same to be frue and <br /> crorrect. All provisions ollaws and ordinances goveminQ this type o/wnrk will be completed <br /> whather specified herein or not. 7he granting o!a perm�f does not presume to give authority fo <br /> violate or cancel fhe provisions of any other sfate or local law reguleting construdron or the <br /> w�oik lor wh�'mI�a�Isca�on 1�mede a�laLu�fhnonzed by the owner o/fhisproperty fo peAortn fhe <br /> 296.2G0 WAC. � Pty�th the State Contradors Caw 18.27 RCW and <br /> �� � � 1�� �,u ,,��- v�� <br /> ���8 oe,e <br />