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��o(� Uc:�'�,�� a�lL-oc�� <br />CLECTRICAL PERMIT APPLICAYION <br />CITY OF EVERETT PERMlIT SERVICES <br />3200 CEDAR STREET, EVEREl-f, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />2� >� C�+%�� � 1�s'ZY'�✓`'� ��r-�+.R-� pR.�VL. <br />PROJECT ADDRESS <br />owner <br />Mail Address <br />ciry <br />SlatefZip <br />Phone <br />��-� �,ta-nt=c.� Z.S 3 � �c �- M��� ✓sz.,� v2 . f ��- ,�,v�- �� Zo � <br />Tenant Mall Addmu City State2io Phone <br />Electrical Contrer.tor Mail nddress <br />���; � : �'1�.'y/i, 1 � <br />fi� f-l�v s �z� � �4 /1-U <br />State License Number <br />��-. <br />Proposed Use af Building <br />City <br />/ <br />l.l�' / iV3r i TW <br />State/Zip <br />oL <br />� z S t70 � <br />ontract Price of Work <br />Contact Person (Plan Review) <br />� /-oL�,6 <br />Phone <br />DescnplionofWorktoBeDane: �-�L.TT��� �ki�7i'J� ����L �—�� �Z��'�y��l�i <br />� C�Mn^v�J��aS <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />7� BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETI' LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily that 1 huve �ead and examined this application nnd know the some to be true end <br />correct All provisions ol/aws and ortiinances govemmq this type of work will be com��leted <br />whether spec:fied herein or not. The gran(ing of a permd does not p�esume to give authonty to <br />wolafe or cancel the provisians o( any other state or locol law regulefing construchon or the <br />performance of construction. That 1 am authonzed by the owner o( this property to perlorm the <br />work forwhich application is made and 1 compty wdh the Sfate Contradors Latv 1827 RCW and <br />296200 WAQ , __� -�. � <br />� � — <br />. �'� c���� ��s—��'� � ZI z���G <br />FEE <br />��wia�i�� <br />