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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 3 AM TO 4 PM <br /> I'ti1; Q�:1S .S'l. S.W. �L taaa�. wA `14'�U"3 <br /> PROJECT ADDRESS <br /> Owner Mall Address Cay Stalemp Phone <br /> -In 11r:'+5 14to Pto `'Asi s W=C_ Tiyye.$ wA ois&) <br /> Tenant Mall Address Cey Slate/Zip Phone <br /> 'RtGLlk)COK W_A: VlV 5e/v' a5 QCU `n.W 342b -A,* A (Zev,-4e., wA GIB= _ <br /> Electrical Contractor Mall Address Cay t State/ZIP Phone <br /> ",LT E LL *0 C5jL.j <br /> State License Number Contract Price of Work <br /> Alu��.nG Sl�uy'' _ <br /> Proposed Use of Buil ng Contact Person (Plan Review) <br /> Description of Work to Be Done: L t.W V✓k t u, a1 N,"'e- S <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 /> I hereby certify that I have read and examined this application and know the some to be true and <br /> correct. All provisions oflaws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting or a permit does not pprreesume to give authority to <br /> violate or cancel the pprovisions of any other state or local law regurating construction or the <br /> performance of construction. That I am authorised by the owner of lhrs property to perform the <br /> work for which application is mFadply with the Stale Contra ors Law 18.27 RCW and _ <br /> zge zoo <br /> Signat9w, Done <br />