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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR 61 REET. EVE RE TT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www everettwa org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />G�`d 4� �Q <br />PROJECT ADDRESS <br />KcAmk n C C�'�k�+ C <br />Ovmer Mall Address City Smte0p Phone <br />Tenant Moll Address city State2rp Phone <br />FleMric ontractor Moil Address City statilizip Mom <br />State License Number Contract Price of Work <br />Proposeg of Building Contact Person (Plan Review) <br />Description of Work to Be Done(�� <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 3106 <br />1 hereby certify that I have read and examined this application and know the some to be true and <br />correct All provisions of laws and ordinances governing this "of work will be completed <br />whether specified herein or not The granting of a permit does not presume to give authority to <br />violate or cancel the pprovisions of any other state or Meal law rogu sting construction or the <br />per/omiance of conslnrdron That 1 am outhonzed by the owner of this pproperty to perform the <br />work Mr which application is made and I comply with the State Contrectors Lew 18.27 RCW and <br />296 200 WAC. <br />r' �� <br />-777 r <br />ytre I Date/ <br />Aa-5 <br />a8c)_ <br />