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r ! <br /> ELECTRICAL PERMIT APPLICATIOIV <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 I2 `'����D <br /> 425-257-8810 - FAX425-257-8857—wuvw.evereriwa.org � <br /> �/a/z .-l� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> (j,'L�..> '2:3un �{Z l„.s� <br /> PROJECTADDRESS <br /> Owner Mall Address City State2lp ppo� <br /> lt'�c_vi- iv4..i. i:L(.l l.�cc �t��;�z i�{2 i,.i•'�T r� �zti77 Wh <br /> Tenant Mall Atldress <br /> CiN :inte/Zip Phane <br /> 'hPCR,1'cc.L i'�/LI'_ I'> 11 ; <br /> ��.�) `1� ���L 1� i: jy^.1 iK�S�.,�t W�i r(K223 ��2 i 1���1 �4�15 <br /> EledricalConhaqor MailAddrass City State/Zip Phona <br /> ,.c� <br /> �� �,�r:�i:�-s�;�i ��� � 3.�,:: .� <br /> Stale License Number Cont2ct Price of Work <br /> Proposed Use of Building (:ontad Person (Plan Review) <br /> Descriplion oF Work to Be Done: 1" �/LF :�L�\�zM "j`uJ 1��i�� )M(�R c��'i��4�T <br /> NOTE: b'VIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br /> 1 hefaby certily that!have rsad and oxamined fhis application arrd know fhe same to ba hue and <br /> correct. All provisions o/laws and oNinana3s govemrng thrs fype o!work will be completed <br /> whethor spocdiod horein or noL The granling ol a pemrd does not presumo to give authonty fo <br /> violato o�cnnco!(he piovisinns o(any other state or local law iegu/ating consfruction or Ihe <br /> peAormance of consfrucfion. That 1 am aufhonzed by Ihe ownerof fhis proporty fo pedorm the 1 '� <br /> work!or which applicalion is made snd I comply with lhe Stafe Conlrac7ors Law 18.27 RCW and � /� <br /> 196.200 WAC. a <br /> �� � 7 <br /> �- -�' � � � <br /> —=��� �-.'..'� �z I23 �� i <br /> 0 tc <br />