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i11i'311i;'NLt' 15:56 :0690?6257 COIdPVIEbI PAGE 06 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRE6T, HV[R[TT, WA 98201 I �-3-�`-O 7 <br /> 425-257•8810 - FAX 425-257-8857 -www.everettwa.org C`�.�0� �./ �� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 VM <br /> 3uo;j u� . 'c.asi.cv Rd� ,E✓e.�t%itc�A 9&��'/ �/�, yS-2 //J Sfu�/ /O5 <br /> PROJECT ADDRESS <br /> t�cLin� l�� NU �.�� 37c] S��HIc.� l.c�R 4�% Z7' y2S- 9.�1- �'1/3 _ <br /> Ownar Mall AdCress Clry Stale/Zlp Pnone <br /> ,�.3o�,n,� /'v boX 3 �� � �¢N� ,u�n 4�i�-Y yz.s"• 43i - �7�3 _ <br /> tenant �.+aa nedm,a ciry s�,iarz�P Phor�n <br /> Z�'4, <br /> C�a��, �(!i uz u� �1(� ?Z T-n�ztr/ci,� /�w.S, %c1.�Cui lGc.j Lc� 4S'/GY 4S9 G'<FaL <br /> Eleclrittfl CCnUacior Mpil AJd�699 Ciry SIMefLlp �'n�^^ <br /> � c�r2rpV✓.i q�,l �D <br /> State Lleense Numhr.r Cvnlred Price ot Work <br /> J�7Pl�Tlhy I'710.9�1 �'j,/�f''- I�!✓'Aitl.h <br /> Pro{x�sed Us«uf Hu dmg Coatact Person (Plan Review) <br /> Oescnption of Wuik�a Hu Dane / nS�/A I� �0�+l 1��}�� k{ _��!�/Ci " (�/� �Y� <br /> � c.r � rv�.,n_ �`_ --- - ------ -- <br /> NOTE WIRING IN NON-DWE�LINGS IS RHOUIRED TO FEE � <br /> 6F IN RACEWAYS, MC OR AC CAl3LE. �.3 J� �'� <br /> c17Y OF EVERCTT�OCAL SALES TN(CODE IS 3105 <br /> !horvby tcrLYy lbnf f h»vw mnA and oxamined fbis npplieation and know the seme to 6x t�ue and <br /> curtrcl. A!1 piorisians of laws pnd ordlnener.s gcvsming fhis type o!w»rk w�116e comp�afe0 �� <br /> N:hethxr spvc:l�ed hereln a nn1. The yranhng o1 a pe�tn+f tlnes nnt�resume fo giw a�fhonty fo <br /> v�eiafo w concM thn fvov�sions al uny other sfafe or Inr.ai law regu ahng consfnxtinn or me <br /> perlurmnnr.e n/cunsfruchun. Thnt!mm�iRhnnred by fhe owner e!�Nis property fo pe�/orm thn <br /> woik/or wb�ch applir.nfinn is m�Ae and I eomply wlth 1he.Sfnte Contrac(ors Lnw f AJ1 RCW and <br /> �BG,YUU LYA C. <br /> ����y!�� /�3C� � I�� <br /> $I n� ur Uele OI � <br /> � <br />