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Nue <br /> • <br /> ELECTRICAL PERMIT APPLICATI • N JUL 23 2015 <br /> CITY OF EVERETT PERMIT SERVICES PLIILIC <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> Everett Mall 1402 SE Everett Way <br /> PROJECT ADDRESS <br /> American Crown Circus, Inc. 4088 Pleasant Rd. Las Vegas NV 89108 70249&2894 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> N/A Owner <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> N/A $4,000.00 <br /> State License Number Contract Price of Work <br /> N/A Leo Osorio <br /> Proposed Use of Building Contact Person (Plan Review) <br /> N/A <br /> Square Footage(If residential new construction, remodel or addition) <br /> 1 <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: 65 KW generator for acrobatic show at Everett Mall <br /> 1402 SE Everett Way, Everett, WA <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 501 n <br /> I hereby certify that/have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to V <br /> violate or cancel the provisions of any other state or local law regulating construction or the 90 f h r� <br /> performance of construction. That I am authorized by the owner of this property to perform the d-lJ <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.2 WAC. <br /> 7/06/15 <br /> Signature I Date <br /> REVISED 3/20/13 <br />