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06/OB/2012 IO:OB FAS 4253J57830 VARNGLL GLGCTRIC �J002/002 <br /> � <br /> ELECTRICAL PERM�T APPLICATION <br /> ��TY OF EVERETT PER�VIIT 3ERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www,everettwa,org <br /> APPLICATIONS ARE ACCEPTED FROM 9 AM TO 4 PM <br /> 5 I C1� (�µ�,�,o�� � l� c�. <br /> PROJECT ADDRESg <br /> y a� 816 I�SS'1 <br /> Po.u� _ I� i,STn2 PU. C�OX IL�-1� M�•,.YSVCC.�' l,�Jh �$ Z?O <br /> Ovmar Mall Addrosa <br /> Cly StetclZlp Phone <br /> Tenanl Mall Atldreaa <br /> CIN State2lV P�one <br /> �I�.�.Nr F�,PG�n� L J=.n �D1� R. r'lZ (isrr SS�✓F >S ln)Y� ��i2� <br /> ElecMcal CoMraclor Mall AdCroea Cly Stsb/DD Phons <br /> va�NEr r S '14� Nlb ._ � �Tp�� <br /> Slnte llcene9 Number ConVacl Prico ol W�—T— <br /> � �FR <br /> Propoeed Uae of Bullding Contact Person (Plan Revlew) <br /> Deeatppon ol Work to Bo Done: _��2 F_ ,L/ �,) 3��Vd n �T � �� _—_ <br /> __ _ —-- I <br /> NOTE; WIRING IN NON-DWELLINOS IS RE�UIRED TO FEE <br /> BE IN RAGEWAYS, MC OR AC CABLE. <br /> CfTY OF EVEpETT I,OCAL 9ALE9 TAX CODE 19 3105 (,, <br /> I horoby ceiNfy fhet 1 hevo ieed ond exemined thls eppllgcatlon end know�e same to De Wo ond � v"- a y ' <br /> �hedior spocmed hereln o�nof nThe g�rentMg o%e peimlf does nofP/resume tobgl ov a�horetfdy to <br /> Nolefe or cencol the provlslons o!eny other sfefa orlocal lew�epu/eflnp consbuct7on or the <br /> pe�lormenco ol consfruetlon. ihet 1 em eufhorized by(ha owner o/fhlsp ropeRy fo peAoan tAe <br /> work lor whlch eppllceflon Is meda an compy wlfh fhe Stefe Con(racfors Law f8.27 RCW end <br /> 286.200 WAC. <br /> a� � ��Z <br />