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OA-2a;:0013 11:11 FAS 1d25J07fl080 GEDDIS ELECTRIC <br />r <br />�ooz <br />ELECTRICAL PERMIT /�PPLtCATION <br />CITY OF EVERETT PERMIT SERVICES ��ay,�{jb <br />3200 GEDAR STREET, EVERET7, WA 96201 ,I <br />425-7_57-8810 - FAX 425-257-8857 - www.everettwa.org (y� (.� 0� —� � N <br />/ <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DE6ff & CREpIT CARDS ARE NOT ACCEPTED <br />� I <br />1 � l�C n'Gi� L:, LC�J 'Ci <br />�/ �� 1 i � <br />��,C�� bi.UE� Lc� Lwr1� I��- �� �✓<'r'r't� 1 <br />PROJECT ADDI2ESS � <br />��Y�ji��l �'��'ilit%�' <br />Ovmer ' <br />Tenant <br />�'� �dt���ici,'r <br />Eluctncal ConUaclor <br />� <br />�Ci.�1 c.vi� <br />Mall AAdrpco <br />Ma1i AddrG9 <br />as.�:i �'� ��"h �-i �ti�� <br />Mall Atldrtss <br />=.1�;-� _`f.3 �' tYi'; % <br />�' <br />Gry <br />Cfry <br />L�C:�tz��c��� <br />Cify <br />�EDb.ZE� ��) 1 il y <br />Statn Licenso Numbcr <br />� , �� <br />�'��LII�', rIL1V.L�vi {-.-1U'�III11L� <br />Proposnd Usc of �uildinp � '— <br />Dc,cnplion ot Wnrk to Bv Dono: <br />� <br />���' ��, 1�1-�' r,n2i,7� ;"6_r � <br />N07L-: WIRING IN NON-DWELUNGS IS REQUIRED TO <br />E3F_ W f2ACEWAYS, MC OR qC CAB�E. <br />�{.�fi �l � �d �r= �� v -cl'��� <br />ShaleJ➢p <br />Smt�JLp <br />Pliarw <br />Phaw <br />� � �.�' `/�S;':3S ���'.7! �%- ID�L� <br />Stalc/,Tip <br />��' ` <br />� 3 "� 5��. ?�'' <br />Contract Price of Wurk � � <br />1 <br />! <br />K�.,,�1�� ��d�,s <br />Contact Pofson (Plan Rovlew) - � <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby corfily that I hnvn road anA expmineJ Ihis a�licaL�on nnd know tho scrme to be huu and <br />u�m:�Y. � Al/ pmvisiwrs o7laws anJ ardlnances pov�m�nc� thls rype oJ wwlr will be cumpleted <br />whcfherspecified herein ornot 7lie grantiny o/a permd doos nut rosume to prve aufhairyW <br />hNata Or canu;lOiw proN;dons o7any olhor sta(a o�locallawropuPfinypconsWcliun o� fho <br />p� r/m�r�e 1 a�p �, nws mr de pnd 1 cuanply wifh fho Sfatc�Conf o�r.f��5� w 18.2 R N�and <br />296.200 WAC. <br />�� <br />`�'/� �_��o C�� <br />FEE <br />