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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVE ZETT PERMIT SERVICES <br /> 3200 CEDAR S, REET, EVERETT, WA 58201 <br /> 425-257-8810 - FAX 425-257-8857 - www.everetlwa org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> iM <br /> Soy r <br /> PROJECT ADDRESS <br /> 6](_/j C/ /7r01144S �fLS L9Q 0000 <br /> Owner Mall Aedress City State2lp Phone <br /> Tenant Mail Address City Slateop Phone <br /> /YIc_j l ) gL!cC Q /"L <br /> Electrical Cantrec r Mail Address City State/ZIP Phone <br /> ML6/NF_ c003AJT <br /> State License Number Contract Price of Work <br /> ' SFS <br /> P• )sed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: /NE to S Fid W/200 /iylfe U G SE2(/nE <br /> NOTE WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> oe <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certffylhaf 1 have read end eAaminec'this application and know the same fo be true an <br /> correct. All provisions of laws end ordinances goveming this type of work will be completed <br /> whether specified herein or nof. The grenfing of a permff does not presume fo plus aufhonty fo <br /> violate or cancel the provisions of any other state or local law raguletlngpconsfmcflon or the <br /> worako aawhfch epplf aflofn Is made and 1 Comply ivdlfh fl he Sfafe Conf heo(ors w 18 27 RCINand <br /> 286.200 WAC. <br /> �� Date <br /> OS <br /> t <br /> 7 'SI .—� `� <br /> nature /J <br />