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p. i <br /> ELECTRIGAL PERMIT APPLICATIOI� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVER6TT, WA 98201 ( 2 `�7�6 <br /> 425-257,8810 - FAX 425•257-8857—www.everettwa.org ��d6/�03Z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM T4 4 PM <br /> �� 3so� J� rla.�.bcN�.r <br /> PROJECT ADDRESS <br /> OWf7�� ��ur� Mul�tld�8 U�/V � � ��CI� [CY �O AOS�tef7JP Phone <br /> Tenant MallAddraaa Cla SUW7Jp (�/ZSPneno <br /> ���� f�S 3ldl �v �N �t� 9'�.�ai �'r ,ziGr <br /> Hlacldca�Confroclor MallAdanas Gty � SntalZlp � Pho�e <br /> , , <br /> r�Yt�4.uSs'!y2 L F ����� <br /> Stato Uconse Number Contract Pdca of Work <br /> C��.r�tF'clsf��£t_ <br /> Proposed Use of Bullqfnp Contad Porson (Plan Roviow) <br /> DoscrlptlonefWorktoBoDono: � r��r/} L �DFbre..�n�'���1V� �1��.4��� <br /> NOT[: WIRING IN NON-DW[LLINGS IS REQUIFED 70 FEE ' <br /> BE IN RACEWAYS, MC OR AC CABL6. ��Q6 <br /> CITY OF EVERETT LOCAI.SAl.ES TAK CODE IS 3105 <br /> 1 hareby cort/ly ihet/havo road and examfnal fhls aopllcntion and knowlhe same to D8 iNe ond <br /> corroct. !lqprovlslons oflaws end orUlnencas 9oveminp t�41s type c(work wNlDo compfotod <br /> wheiher speGGed haieM ernoG The pren6'rrp ot a permrt dces nof prosume io pl�re authodty to <br /> vlc/ofo or cencal tha proNslotts olnny otherstete�r/ecal law re9u/BNnp con5trucUon or lhe � <br /> peAormence o(constrvcUon. Thot 1 em eutharl:ad Dy;ho ownor of fhfs property to perform fhe <br /> wrork for which aFP��cetion is maae ard 1 ccmply wlfh fbe State ContraCus Lew 18,27 RCWend � <br /> 2S6.200 WAC, <br /> � E�' G <br /> Ipnaturo �� � � <br /> i> % � _/ <br />