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� i� <br /> ELECTRICAL �ERMIT APPLICATION <br /> CITY OF EVERETT P�RMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857–www.evereriwa.org <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> S�1u 1 Z3 R.s� 72 �,;, r� Il��— <br /> PROJECT ADDRESS <br /> �' L L_1_L <br /> ��_�_.,:,�Y L�.,-� �r� 3 <br /> Owne� Mall Add�esa City Stale2lp Ptana <br /> +�.1A. IJ�i�oMnlfiJ <br /> Tenant Mail Address City StetelZip Phone <br /> �J�22IS..,z �IQS_ )�bo7 cSlf71� �� Ni A2LiNc=Tc,•-v WA �iS2Z3 NZS C�-{�I �u`� <br /> EledricalCoMraaor MallAddrese cny staterzip ahone <br /> 3f�rt2S S:S�,s I !n� ��1 ci c;�`�`' <br /> State License Number Contract Price of WoAc <br /> Propoaed Use of Building Contact Person (Plan Review) <br /> � <br /> Desaip6nn of Work to Be Done: I rJ-.` �L-�-l2Y� ) i!J AJ�I� I lh�i'SL V•��7v�41�+7' <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SAlE3 TAl(CODE IS 3706 <br /> 1 here6y certily fhaf I have iead and examined fhis application and know fhe same fo be frue and <br /> aorrect. All provisions o/laws and ordinances goveming this fype olwor!c will be completed <br /> whefher speciF.ed herein or not. The granting o/a pefm�t does nofp iasuma fo give authority to <br /> violatewcana9llhe provisionso/anyothersfafeorlocallewiegu�afinpconsMidionorfhe <br /> w�or�lc�w�h'�a�li�r.a�n s m�e and/a�nzed by the owner o/thisprope rty to per(orm fhe <br /> 298.200 WAC. � Pry W�h fhe State Conhadors Law 18.27 RCW and <br /> �ji <br /> • i- ��� �� <br /> �'� i�^-z--1 L � ��) (Ic) � O O� � �L � <br /> Sfgnalure D ta <br />