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( � <br /> ELECT�2ICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICEa <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �„/OO Q—D <br /> 425-257-8810 - FAX 425-257-8857 www.everetiwa.org <br /> �-4 -/0 <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PN <br /> .3 �� � 02 �Pc�G.. S T <br /> PROJECT ADDRESS <br /> G�GN �L TH✓PJ7./y�Pr7� S <br /> Owner A1aIlAdO•oss Clty SI;deZip Phon� <br /> Te�ant___.__ _—. MallAadrvss —_—.—�. Cil�—_---- y�,�t, �,�,--____—I,nrrv. <br /> r- - .,�Ss, �.,.. , f--,�-� ,��-.� ,7; <br /> �S'_" ___ <br /> Eloc�rir,nl ConL•actor Mall Adlress Cit�� sc,v:Iq, rnc•,,,, <br /> n , – – / <br /> � �'� U%":= /= 1 li� � �/��`� i,SZ�; ` . <br /> Slate Liconse IJumber Conlrncl!'rico ol Work <br /> .�:�,-�/.' � ,- <br /> PropocrA Usr ul[3uildiny Crnd�ict R�rsnn (Plan Revicw) <br /> � , <br /> Doscriptinn n�Wnrk�o(3n Don„ %,� ./ �' . �.',. :�� L.. , �'1 �' . � .��.! , f�� (.�J, <br /> --`--- � <br /> �---- --� --- � ---�------J�.-- <br /> �—���� <��'_�� �i � �� � L i ' � i�a'✓. �-s I�r IO '_ f^' L�� / � SG���JF /t _ <br /> NOTE: W IRING IN NON-DW[LLINGS IS REQUIRED TO PLC <br /> BE IN RACEWAYS, MC OR AC Cl1DLE. <br /> '- -- <br /> CITY UF EVERETT LOCAL S4LES TAX CODE IS 9105 - <br /> I hemby certil��fhnf I ha��r rr»d nnd�.Flrnlned fhis ap/+6r.et�on em�kne�r fhe serm�fr�t�c 6u��nn,1 <br /> cormrf �0 pio��isiorts ol In�ti s nnd orAinnnr.es go�enung fhis f)'pP OI IYO� N'lll hC COlnplofrd <br /> �vheth,v specilied herein or n��f The prenhn�ol n pornid does nof �resu^�e to give eiRhordy f..� <br /> �4olafe or cencM fhe+`VOI'ISIOI75 pl All)'OfI1P/SINfe Q�IOCflI IBIY fB�UleNng consfrucfion or tlie <br /> peNnnnence ol conslructirn. fpat 1 orn eutliorh,eA L��fhe owner o/fhis ropert}�fo pedom�(he ` <br /> work lor which nppi�cefion is niodn end 1 cornpli �rifh fhe Sfafo ContrecPrs Lnn� iB.27 RCW nnA i� , � <br /> 296.200 N'AC. / � �.� <br /> �i , /� <br /> , , <br /> -.- .�,� ,.. . 5 - ; - , c, <br /> Siyn:iGue ----------------� Date . _ _. . _ <br /> - - - --- -- --- -- - -----J <br />