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r�� uo;� i;4u a,m. vi- iy-�wu i i i <br />ELECTRICAL PERMIT APPLICATI4N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.gov <br />z�oS 1�aYT AV� , tvE��-rr w� q SZo 1 <br />PROJECT ADDRESS <br />c�Q,P. o� c,a�-uoc,�c� �-lD �M auE 5��2� w�,qs(o�/ 2�-38 •Y8s/ <br />�wner �����5►-(01� MaflAddress City 5tate/Zip Phone <br />IWIMALULRf� CoNG�PT10nI 2�8 Novr A�YE F�IE�E7r W�%i$2b( `IZo`-• 3yg •����- <br />Tenant SU�IODL Mall Address <br />City <br />5tate2lp <br />Phone <br />Tr�►J ���cr�le._ Izaz$ rvaefXluP w�4�( sr� Zo� g6u- v�� wA�gB�' �•G33-2811 <br />Electrical Contractof Mail Address City 5tatelZip Phone <br />�TA�l�t�l �l(o3�g <br />State License Number (required) <br />Proposed lJse of Building <br />Square Footage (If residential new construction, remodel or addition) <br />� <br />Number of devices (If low voltage) <br />4�l�°l( <br />City of Everett Business Llcense Number (required) <br />�; 000 <br />Contract Price of Work <br />�� rvr� ns� nl 2a� ��08 • 3o�r8 <br />Contact Person/Contact Number/Email <br />S�n-rrw►� nr�-NE��cr�-�c. r�ET <br />Descriptian of Work to He Done: �NSTA-Il �' 6D�lM P C1 LCV l'j'S � �(�i�/�a,l ,� f.f �� PU�1ilP <br />/�t�4C� �i ' 2� �4-rM P U�lJC� Z'f� �� tz�L. P Ti�Y'1 F g � co wt Pv 1�� L�$ /N�.. r� !/ p.Q�%4 <br />FU(� Fd�. D- h.r.4efL �- � <br />CITY OF EVERE7T LOCAL SALES TAX CODE lS 3105 <br />l hereby certify thai I have rtad and examined fhis application and know fhe same to be true and <br />correcf. Al1 provisions of /aws and orrlinances goveming this fype of work will be completed <br />whether specified herein or not The granting of a permif does not presume to give authority fo <br />violafe or cancel the provisions of any oiher sfate or loca/ law r�gulating construction or fhe <br />pertormance of construcfion. That I am authorfzed by ihe owner of this property to perform the <br />work for which application is made and 1 comply wifh the 5tate Contractors Law 18.27 RCW and <br />296.200 WAC. <br />REVISEP Q&Dfi2014 <br />FEE -� <br />C L <br />I� � <br />PERMIT# <br />E IS�C� - I �f�-�- <br />