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( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES ���`� <br /> 3200 CEDAR BTREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8657-www.everetlwa.org �. //D 9- l y(J <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � <br /> I Za� T��� ��- <br /> PROJECT ADDRESS <br /> Owner Mail Address Gty State/Zip Phone <br /> Tenanl Mall Address City SWte/Zip Phone <br /> - j�� �: .S �us< . °I �S'� �-2c��1� ' �l'3l�(� 2Db ZZ�-U <br /> EI ctrical Contraclor Mail Address Ciry State/Zip Phone <br /> �'}- .! T��/ �T Gl �7 C L./ 3ovp.o� <br /> Slale License Number Contract Price ot Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Woric to Bo Done: � y- � <br /> �( l G1�- �� ;%WiJLA c�J'l�� � •9 / O^--' <br /> L � <br /> NOTE: WIRING IN NON-DN/ELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hereby certily fhaf I huve read and examined this applicafron and know fhe same to be irue and <br /> correcL All isior�s of laws and ordinances goveming this type ol work will be comp/efed <br /> whefher sp i( d herein or not The granting o/a permd does nof�resume fo yive authonty fo <br /> violafe or c8nc 1 fhe rovlsions of any other stale or local law regulating consfrucfion or fhe <br /> perfomian�e o con ucfion. Thef I am aufhorized by fhe owner of fhis property fo pertonn the <br /> work lor w/iich app fion is made and 1 comply with fhe Sfafe Contrac(ors Lew f 8.27 RCW end _ / /'�� <br /> 296.200 AC I��j 7 <br /> 1 � <br /> S8 a re Date <br />