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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.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />Z I I b `I 5 5 6 Eve rc_+ i- L JA 9 s zu 3 <br />PROJECT ADDRESS <br />bf mj A 0 ieASte\ t7L-90 1-??,3r4 PI trJ GJ. .,Js r r,✓A 90OZ� iKzS}115 11 70 <br />Owner Mall Address City State/Zip Phone <br />0One <br />Tenant Mail Address City Statorzip r'hone <br />EleriricalGonlra,•tor MallAw,ess City Stateq;p nonr <br />I'M N A <br />State Liconw Number Contract Price of Work j <br />P-es;1Gn-" ".t br'sA A. <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: P it J-L- �t k'ce_ Pc e I (c c-c- L n n 9 <br />Sere;es� (� t ( e n ar de *�v_. too A iro Zna A <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 ""roby cerhly that 1 have read and oxemfned this eppllcation arrd know the same fo be true and <br />cc"cf. All provisions ollews and ordinances goveminp this type of work will be completed <br />wfloti er speGfied herein or not. The grerrfinp o/ a poml7t does not presume to glue eufhonfy fo <br />v101afe or cancel the provisions of any other state or local law regulatingpconsfrucflon or the <br />won or which a� firtatlofn Js made end I como�roivdlfh the 8fefe Contrhal crorspLewy f B. �RCW end <br />296.200 WAC. Pp Py <br />Signature Dale <br />