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i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET. EVEREiT,WA 98201 <br /> 425-257-8810 - FAX425•257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> ��b� l�n.�r�or,��v <br /> PROJEGT ADDRESS . <br /> 1��1 N� 1 bB6 8i2o��y Ev��c�� �9 9��ol <br /> Owner Mall Addrees Gry StztelLip Pnone <br /> 131C� � m�uim�i " " y�s -�3� -5�35 <br /> Tenant MallAddress Ciry StnlefZip Phone <br /> Energy Management Services 15008 351h Ave.W.t!C Lynnwood WA 98087 425-741-3526 <br /> ElecWralContractor MallAddreu C�ty Stete2ip Phone <br /> ENERGM5913B6 � ��DD'� <br /> State Ucenso NUmbar Contract Prlce of Woik <br /> Oave Davis(425)778-2795 <br /> Proposed Use of 9uilding Conlact Persan (Plan Revlow) <br /> ' . Description of Work lo�e Dona: Lighling Retroft <br /> NOT[: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CI7Y aF EVERGTT LOCAL sALEs TnX coD[IS 3105 ��1 p/ <br />' I hore6y certi/y thef 1 have road and examined fhis eppiieafion and know the ssme to b0 true and G 1 v�v'"� / [ <br /> colmcf. All pmvisions ollnws and oNinances go�rming this lype o/work will be completed <br /> whethcrspecified heroln or not The gmnting ol a poimrt does not p�esume ro give auq�onry fo <br /> violate or cancel ihe provisions o/any ofher sfafe or facal!aw re0ulating mnstruction ortha <br /> pOdomtance of cansln!cffon. Thaf I am oufhaizvd by the owner olf�is property IO p6domi 7he <br />' iwrk!ur w � tanon is made and 1 comply w/t�the Stste Confractors Law 18.27 RCWsnd <br /> 296.200 �AC.� <br /> _ . <br /> • . -L. "�� � �i` OG7 /C� <br /> u;gneNre Date <br /> IO/i0 3hFid SlV3 6500hC8E5Z 8S�00 800Z/ZL/DO <br />