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i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES ,,/��/�� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 'Y <br /> 425-257-8810 - FAX A 25-257-8857—www.everettwa.org E,�a..0�5 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 51vW cASIN� � D # D �U��� , �r� q� ���!- <br /> PROJECT ADDRESS <br /> �'�'�-�i <br /> �o� �;n s� N�� �loW CAs�U� P-9#q �V�I��� WP°I�,�a�- 3i9-�+i(� <br /> Owner Mall Addresa City State2lp Phone <br /> SF>M b <br /> Tenanl Mall Addresa City Stale2lp Ph(�ono <br /> TZS <br /> M � ��e's Nt�vs�Urvs �z�b �oos+ 5� �,1-�{�rr �.�a aBZo � -,S�-�b'1 <br /> Eleclrical Conlrector Mall Addreas Clty 9tate2lp Phone <br /> MI KL 5N S v3� C-lZ �� � <br /> Slale License Number Contrect Price o(Work <br /> Kec7�N. t�o�r� — <br /> Proposod Use o(Bullding Conlacl Paraon (Plan Revlew) <br /> C1 T ! ,, <br /> Description of Work to Be Done: � �S�R-L L C W��=G �l�N�V�L �n ��Z'� <br /> uN (�i�c� wa �RA�� CNANN �L �-�"iT�lz� bN �wTwA , <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FFF <br /> BE IN RACEWAYS, MC OR AC CABLE. ��1 � <br /> CITY OF EVERETT LOCAI SAIES TAX CODE IS 3106 <br /> 1 hereby certity thaf I frevo reed end exemined fhls applicatlon end know fhe seme fo 6e true end �/�� <br /> correcC All provislons ollaws and ordlnences goveming Ihfs type o/work wfll be complefed � I Z �2 —�Vi—� <br /> whethor specllled here6i or noL The granting ol e pertnd does nof presume fo plve aufhonty to <br /> violato or cvical the provislons ol any ofher sfafe or locel luw regulefing conshuctlon or fhe <br /> peAomianco o/conslructlon. Tliet I em authonzed by fhe owner ol fhls property fo peAorm fhe <br /> work lor which applicetion Is mede end 1 compty wifh fhe Sfafe Confractors Lew 18.27 RCW end <br /> 296.200 WAC. <br /> � �;r��__ '. ��-- /L <br /> Signat e Dele <br />